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Organization
SAMUEL KIM DDS INC
Active
Organization
SAMUEL KIM DDS INC
Active
Other names
Apple Valley Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL KIM DDS (OWNER)
(760) 247-6007
Entity
Organization
Contact information
Practice address
21580 BEAR VALLEY RD STE B2-2, APPLE VALLEY, CA 92308-7200
(760) 247-6007
Mailing address
21580 BEAR VALLEY RD STE B2-2, APPLE VALLEY, CA 92308-7200
(760) 247-6007
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
51348
CA
Other
Enumeration date
09/11/2007
Last updated
09/11/2007
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