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Organization
LOUIS KIM DDS INC.
Active
Organization
LOUIS KIM DDS INC.
Active
Other names
Elder Creek Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOUIS MIN KEUN KIM DDS (PRESIDENT)
(916) 391-0682
Entity
Organization
Contact information
Practice address
4730 47TH AVE, SACRAMENTO, CA 95824-3959
(916) 391-0682
(916) 391-7059
Mailing address
4730 47TH AVE, SACRAMENTO, CA 95824-3959
(916) 391-0682
(916) 391-7059
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
53231
CA
Other
Enumeration date
01/22/2009
Last updated
01/22/2009
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