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Organization
GEORGE D. LIM, DMD, INC.
Active
Organization
GEORGE D. LIM, DMD, INC.
Active
Parent organization
GEORGE D. LIM, DMD, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
GEORGE D. LIM, DMD, INC.
Authorized official
MRS. MILAGROS L. LIM (HR ADMIN/ACCOUNTS)
(323) 951-0814
Entity
Organization
Contact information
Practice address
401 S FAIRFAX AVE, LOS ANGELES, CA 90036-3133
(323) 951-0814
Mailing address
401 S FAIRFAX AVE, LOS ANGELES, CA 90036-3133
(323) 951-0814
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
43190
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275775082
DENTICAL
CA
01
—
43190
DENTAL LICENSE
CA
01
—
G92264
DENTI-CAL PROVIDER NUMBER
CA
Enumeration date
03/26/2009
Last updated
03/24/2021
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