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Organization
PETER KIM, D.D.S., P.C.
Active
Organization
PETER KIM, D.D.S., P.C.
Active
Other names
Del Amo Dental Office
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER UNG KWON KIM D.D.S. (PRESIDENT)
(562) 402-4411
Entity
Organization
Contact information
Practice address
11899 DEL AMO BLVD, CERRITOS, CA 90703-7605
(562) 402-4411
(562) 402-5052
Mailing address
11899 DEL AMO BLVD, CERRITOS, CA 90703-7605
(562) 402-4411
(562) 402-5052
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
49769
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G92845-01
DENTICAL
CA
Enumeration date
04/26/2007
Last updated
08/22/2020
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