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Organization
DIANA KIM DDS A DENTAL CORPORATION
Active
Organization
DIANA KIM DDS A DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YASMINA MEDINA (SECRETARY)
(909) 586-0672
Entity
Organization
Contact information
Practice address
117 W WILLOW ST STE A, POMONA, CA 91768-1829
(909) 622-8818
Mailing address
117 W WILLOW ST STE A, POMONA, CA 91768-1829
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/25/2019
Last updated
09/25/2019
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