Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Ki Wan Kim, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1689961120

Dr. Ki Wan Kim, DDS is a Student in an Organized Health Care Education/Training Program in Oceanside, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2011
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

3601 Vista Way Ste #202
Oceanside, CA 92056-4559
Phone: (760) 439-1871
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endodontics (primary) Taxonomy 1223E0200X · Licence 63507 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1689961120
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJuly 5, 2011
Last updated in NPPESNovember 14, 2014
Mailing address3601 Vista Way, Suite #202, Oceanside, CA 92056-4559

Other providers in Oceanside