Hyung Tack Kim is a Dentist in Fullerton, California. Hyung Tack Kim practices all healthcare services and medical treatments related to Dentist. The NPI Number for Hyung Tack Kim is 1457554123. The last update date is 2020-03-19.
Hyung Tack Kim's current location address is 1751 Chantilly Ln, Fullerton, California. You can contact this provider via phone number 3108939794. The mailing address for Hyung Tack Kim is 1751 Chantilly Ln, Fullerton, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Hyung Tack Kim |
|---|---|
| Address | 1751 Chantilly Ln, Fullerton, California |
| Phone Number | 3108939794 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S |
NPI Number Detail
| NPI Number | 1457554123 |
|---|---|
| Provider Enumeration Date | 2007-06-08 |
| Last Updated Date | 2020-03-19 |
Provider Mailing Address Detail
| Address | 1751 Chantilly Ln |
|---|---|
| City | Fullerton |
| State | California (CA) |
| Post Code | 928331289 |
| Phone Number | 3108939794 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 55714 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the Hyung Tack Kim's unique identification number?
The Hyung Tack Kim has been assigned the NPI (National Provider Identifier) Number 1457554123 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Hyung Tack Kim?
The Hyung Tack Kim is situated at 1751 Chantilly Ln, in the city of Fullerton, state of CA, with the zip code 928331289.
What is Hyung Tack Kim's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Hyung Tack Kim's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
On what date did Hyung Tack Kim receive its 1457554123 assignment from the Centers for Medicare & Medicaid Services?
The Hyung Tack Kim was assigned its 1457554123 on 2007-06-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Hyung Tack Kim most recently updated or revised?
The information pertaining to Hyung Tack Kim, including its address, specialty, and other relevant details, was last updated or revised on 2020-03-19.
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