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Organization
KENNY YOUNG KIM DDS INC
Active
Organization
KENNY YOUNG KIM DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNY KIM (PRESIDENT)
(213) 820-3494
Entity
Organization
Contact information
Practice address
20147 PIONEER BLVD, LAKEWOOD, CA 90715-1051
(562) 924-0558
Mailing address
14657 VIA POINTE DEL SOL, WHITTIER, CA 90604-1364
(213) 820-3494
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
54955
CA
Other
Enumeration date
08/18/2016
Last updated
08/18/2016
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