Brian Songsu Kim
Organization Active NPI General Practice Dentistry · Wasco, CA
NPI 1881801975 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1881801975
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Legal business name
- BRIAN SONGSU KIM
- Practice address
- 1245 7TH St
Wasco, CA 93280-1820 - Phone
- (661) 758-3021
- Fax
- (661) 758-6980
- NPI assigned
- May 17, 2007
- Organization subpart
- No
Authorized official
- Name
- Sylvia Garza
- Title
- Office Manager
- Phone
- (661) 758-3021
Corporate family (same tax ID) 2
Practitioners 2
-
Brian Songsu Kim, D.M.D.
National Provider Directory
- Tax ID family
- Brian Songsu Kim
Locations
1245 7th St
Wasco, CA 93280
Phone (661) 758-3021
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | Yes |
Addresses
Primary practice location
1245 7TH St
Wasco, CA 93280-1820
Mailing address
1245 7TH St
Wasco, CA 93280-1820
Phone (661) 758-3021
Other names
- HOMETOWN DENTAL CARE
Other providers in Wasco, CA
- Javier Barba
- Jesus Beserra
- Anna Katherine Boehning
- Sandra Bravo-Navarro
- Isabel F Bravo
- BL Le Bui
- Jesus Bustamante
- Ca Department of Corrections
- Calico Dialysis LLC
- Maria Hilaria Calvillo Diaz
All providers in Wasco, CA · General Practice Dentistry in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.