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Organization
HAN AND KIM DENTAL CORP
Active
Organization
HAN AND KIM DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KWANG KEE HAN DDS (CEO)
(909) 379-9897
Entity
Organization
Contact information
Practice address
72724 29 PALMS HWY STE 102, TWENTYNINE PALMS, CA 92277-2459
(760) 367-7645
Mailing address
33925 GOLDEN CROWN WAY, YUCAIPA, CA 92399-6965
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/27/2022
Last updated
04/28/2022
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