Kim, Brian
Kim, Brian is an sole proprietor health care provider with primary practice located at 12721 Newport Ave Ste 1 , Tustin CA 92780-8031. He recently has 3 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Oral and Maxillofacial Surgery, Dental Providers / Dentist. Dental Providers / General Practice is his primary health care specialty. Kim, Brian can be contacted via phone (714) 730-8070.Contact Information
Primary practice address
12721 Newport Ave Ste 1
Tustin CA 92780-8031
Phone: (714) 730-8070
Fax: (714) 730-8112
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 50765 | California |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 50765 | California |
| Dental Providers / Dentist | 122300000X | 50765 | California |
Profile Details
| NPI number | 1598989063 |
|---|---|
| LBN Legal business name | Kim, Brian |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 13th, 2007 |
| Last updated | Oct 8th, 2025 - about last year |
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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