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Organization
MICHAEL S. KIM DENTAL CORPORATION
Active
Organization
MICHAEL S. KIM DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL S KIM DDS (OWNER/PRESIDENT)
(760) 776-5731
Entity
Organization
Contact information
Practice address
73091 COUNTRY CLUB DR, PALM DESERT, CA 92260-2338
(760) 776-5731
(760) 776-9338
Mailing address
73091 COUNTRY CLUB DR, PALM DESERT, CA 92260-2338
(760) 776-5731
(760) 776-9338
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
60509
CA
Other
Enumeration date
09/21/2017
Last updated
07/21/2022
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