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Organization
S.S. KIM, D.D.S. INC.
Active
Organization
S.S. KIM, D.D.S. INC.
Active
Other names
GP Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NINA TRUONG-KIM (REGIONAL MANAGER)
(951) 377-2278
Entity
Organization
Contact information
Practice address
1410 N GAREY AVE, SUITE B, POMONA, CA 91767-3810
(909) 623-8535
(909) 623-8230
Mailing address
1410 N GAREY AVE, SUITE B, POMONA, CA 91767-3810
(909) 623-8535
(909) 623-8230
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
39026
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
829626
UNITED CONCORDIA
CA
01
—
B39026-01
DENTICAL
CA
Enumeration date
05/17/2007
Last updated
08/22/2020
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