# ANDREW KIM DDS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ENHANCE DENTAL LARCHMONT
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083437396
- **Authorized official:** ANDREW KIM DDS (DOCTOR/AUTHORIZED OFFICIAL)
- **Authorized official phone:** (562) 799-8300

## Contact information

- **Practice address:** 646 N LARCHMONT BLVD, LOS ANGELES, CA 90004-1308
- **Practice address phone:** (323) 464-8677
- **Mailing address:** 646 N LARCHMONT BLVD, LOS ANGELES, CA 90004-1308
- **Mailing address phone:** (323) 464-8677

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |
| 261QD0000X | Dental Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 11/05/2024
- **Last updated:** 11/05/2024