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Organization
KYUNG MYUN KIM DDS CORPORATION
Active
Organization
KYUNG MYUN KIM DDS CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YANG KIM (ADMINISTRATOR)
(714) 505-2010
Entity
Organization
Contact information
Practice address
24953 PASEO DE VALENCIA STE 13C, LAGUNA HILLS, CA 92653-4344
(949) 770-4275
(949) 770-0538
Mailing address
24953 PASEO DE VALENCIA STE 13C, LAGUNA HILLS, CA 92653-4344
(949) 770-4275
(949) 770-0538
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11815
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G93667-01
—
CA
Enumeration date
05/12/2015
Last updated
07/16/2015
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