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Organization
GARDINA DENTAL CENTER
Active
Organization
GARDINA DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEYOUNG KIM (DENTIST OWNER)
(310) 532-7323
Entity
Organization
Contact information
Practice address
15201 S. WESTERN AVE., GARDINA, CA 90249
(310) 532-7323
(310) 532-7774
Mailing address
15201 S. WESTERN AVE., GARDINA, CA 90249
(310) 532-7323
(310) 532-7774
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
28586
CA
Other
Enumeration date
04/09/2007
Last updated
11/24/2014
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