# JIN Y. KIM DDS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063687937
- **Authorized official:** DR. JIN YOUNG KIM D.D.S. (PRESIDENT)
- **Authorized official phone:** (323) 445-6144

## Contact information

- **Practice address:** 9681 GARDEN GROVE BLVD STE 104, GARDEN GROVE, CA 92844-1548
- **Practice address phone:** (713) 539-8275
- **Practice address fax:** (714) 539-8284
- **Mailing address:** 9681 GARDEN GROVE BLVD STE 104, GARDEN GROVE, CA 92844-1548
- **Mailing address phone:** (714) 539-8275
- **Mailing address fax:** (714) 539-8284

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 54575 | CA | — |
| 1223P0700X | Prosthodontics | 54575 | CA | Yes |

## Other

- **Enumeration date:** 04/23/2008
- **Last updated:** 03/27/2020