Kim, Ki Wan

Kim, Ki Wan is an sole proprietor health care provider with primary practice located at 3601 Vista Way Suite #202, Oceanside CA 92056-4559. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Endodontics. Dental Providers / Endodontics is his primary health care specialty. Kim, Ki Wan can be contacted via phone (760) 439-1871.

Contact Information

Primary practice address
3601 Vista Way Suite #202 Oceanside CA 92056-4559
Phone: (760) 439-1871
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Endodontics 1223E0200X 63507 California

Profile Details

NPI number 1689961120
LBN Legal business name Kim, Ki Wan
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 5th, 2011
Last updated Nov 14th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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