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Organization
GEORGE D. LIM DMD INC-HOLLYWOOD
Active
Organization
GEORGE D. LIM DMD INC-HOLLYWOOD
Active
Parent organization
GEORGE D. LIM, DMD, INC.
Other names
George D Lim DMD Inc.
Organization subpart
Yes
Provider details
NPI number
Legal business name
GEORGE D. LIM, DMD, INC.
Authorized official
DR. GEORGE DIG LIM DMD (PRESIDENT)
(323) 953-0505
Entity
Organization
Contact information
Practice address
1551 N VERMONT AVE, LOS ANGELES, CA 90027-5330
(323) 953-0505
Mailing address
1551 N VERMONT AVE, LOS ANGELES, CA 90027-5330
(323) 953-0505
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
43190
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
343190
DELTA DENTAL OF CA
CA
01
—
G92264-03
DENTI-CAL PROVIDER NUMBER
CA
Enumeration date
06/25/2007
Last updated
11/02/2020
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