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Organization
YOUNG RAE KIM DENTAL CORP
Active
Organization
YOUNG RAE KIM DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YOUNG RAE KIM DDS (CEO)
(714) 776-1202
Entity
Organization
Contact information
Practice address
937 N LEMON ST, ANAHEIM, CA 92805-1825
(714) 776-1202
(714) 776-9504
Mailing address
937 N LEMON ST, ANAHEIM, CA 92805-1825
(714) 776-1202
(714) 776-9504
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
59862
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205137999
—
CA
Enumeration date
07/25/2014
Last updated
07/25/2014
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