Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Peter Keewahn Kim, DDS

Individual provider Dentist · NPI 1417554411

Dr. Peter Keewahn Kim, DDS is a Dentist in San Jacinto, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2020
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

1643 S San Jacinto Ave Ste 100&101
San Jacinto, CA 92583-5181
Phone: (951) 654-7744
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 105646 (CA)

Record details

NPI number1417554411
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedOctober 3, 2020
Last updated in NPPESOctober 3, 2020
Certification dateOctober 3, 2020
Mailing address1643 S San Jacinto Ave Ste 100&101, San Jacinto, CA 92583-5181

Other providers in San Jacinto