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Organization
RICHARD S. LIM, DDS, INC.
Active
Organization
RICHARD S. LIM, DDS, INC.
Active
Other names
Yucaipa Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD S. LIM DDS (OWNER CEO)
(909) 797-8090
Entity
Organization
Contact information
Practice address
11834 BRYANT ST STE 102, YUCAIPA, CA 92399-3848
(909) 797-8090
(909) 918-0595
Mailing address
11834 BRYANT ST STE 102, YUCAIPA, CA 92399-3848
(909) 797-8090
(909) 918-0595
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
62480
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962842575
—
CA
Enumeration date
02/06/2015
Last updated
06/11/2019
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