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Organization
SKIM DDS INC
Active
Organization
SKIM DDS INC
Active
Other names
Premier Dental Suite
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SONG K KIM DDS (PRESIDENT)
(661) 349-8280
Entity
Organization
Contact information
Practice address
4635 E AVENUE S, PALMDALE, CA 93552-4483
(661) 349-8280
Mailing address
4635 E AVENUE S, PALMDALE, CA 93552-4483
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
08/02/2016
Last updated
11/21/2017
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