Soodong Kim is a San Bernardino, California based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Soodong Kim is 38859 for General Practice Dentistry in California. His current practice location is 1728 N D St, San Bernardino. Patients can reach him at 909-886-0087.
Soodong Kim is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Soodong Kim speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Soodong Kim
Specialization:
Dentist
Gender:
Male
Credentials:
D.D.S.
Accepts Medicare Assignment:
No
Practice Address:
1728 N D St, San Bernardino, California, 92405-4418
Phone:
909-886-0087
Fax:
909-886-3533
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1689720740
NPI Enumeration Date:
25 Jan, 2007
NPI Last Update On:
09 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Soodong Kim are as mentioned below.
License Number
Specialization
State
Status
38859
General Practice Dentistry
California
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Soodong Kim such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
B38859-01
Other
California
CALIFORNIA HEALTHY FAMILY
G94047-01
Medicaid
California
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2615 Canada Blvd, #303 Glendale, California
Zip:
91208-2076
Phone Number:
818-247-2327
Fax Number:
909-886-3533
Patients can reach Soodong Kim at 1728 N D St, San Bernardino, California or can call to book an appointment on 909-886-0087. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.