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Organization
MICHELLE K. KIM D.D.S. CORP.
Active
Organization
MICHELLE K. KIM D.D.S. CORP.
Active
Parent organization
MICHELLE K. KIM D.D.S. CORP.
Other names
Bright Smile Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
MICHELLE K. KIM D.D.S. CORP.
Authorized official
MRS. MICHELLE KYONGAH KIM D.D.S. (PRESIDENT/OWNER)
(626) 449-3367
Entity
Organization
Contact information
Practice address
2245 E. COLORADO BLVD., SUITE 201, PASADENA, CA 91107
(626) 449-3367
(626) 449-3376
Mailing address
2245 E. COLORADO BLVD., SUITE 201, PASADENA, CA 91107
(626) 449-3367
(626) 449-3376
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
42670
CA
261QD0000X
Dental Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B42670-01
MEDICAL
CA
Enumeration date
04/30/2009
Last updated
08/19/2014
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