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Organization
JAMES YOUNG KIM DENTAL CORP
Active
Organization
JAMES YOUNG KIM DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES YOUNG KIM (AUTHORIZED OFFICIAL)
(760) 779-5662
Entity
Organization
Contact information
Practice address
74420 HIGHWAY 111 STE 1, PALM DESERT, CA 92260-4144
(760) 779-5662
(760) 779-5683
Mailing address
74420 HIGHWAY 111 STE 1, PALM DESERT, CA 92260-4144
(760) 779-5662
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
261QD0000X
Dental Clinic/Center
—
NULL
Other
Enumeration date
12/26/2018
Last updated
08/11/2022
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