Dr Charles Chanwoong Kim, DDS in Waterford, CA - Dentist

Dr Charles Chanwoong Kim, DDS is a Dentist - General Practice based in Waterford, California. Dr Charles Chanwoong Kim is licensed to practice in California (license number 61112) and his current practice location is 12142 Yosemite Blvd, Waterford, California. He can be reached at his office (for appointments etc.) via phone at (209) 874-2337.

NPI number for Dr Charles Chanwoong Kim is 1447523568 and his current mailing address is 12142 Yosemite Blvd, Waterford, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1447523568.

Contact Information

	Dr Charles Chanwoong Kim, DDS
	12142 Yosemite Blvd, Waterford, CA 95386-9163
	(209) 874-2337
	(209) 874-9822

Healthcare Provider's Profile

Full Name	Dr Charles Chanwoong Kim
Gender	Male
Speciality	Dentist - General Practice
Location	12142 Yosemite Blvd, Waterford, California
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1447523568
Provider Enumeration Date: 02/21/2012
Last Update Date: 03/01/2016

Medical Identifiers

Medical identifiers for Dr Charles Chanwoong Kim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447523568	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	61112 (California)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Charles Chanwoong Kim is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Charles Chanwoong Kim, DDS 12142 Yosemite Blvd, Waterford, CA 95386-9163 Ph: (209) 874-2337	Dr Charles Chanwoong Kim, DDS 12142 Yosemite Blvd, Waterford, CA 95386-9163 Ph: (209) 874-2337

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Dentist in Waterford, CA

James Yamamoto, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 12142 Yosemite Blvd, Waterford, CA 95386
Phone: 209-874-2337 Fax: 209-874-9822

Dr Charles Chanwoong Kim, DDS - Dentist in Waterford, CA