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Organization
JAMES KIM DDS A PROFESSIONAL DENTAL CORPORATION
Active
Organization
JAMES KIM DDS A PROFESSIONAL DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES H KIM DDS (OWNER)
(909) 866-0606
Entity
Organization
Contact information
Practice address
42002 FOX FARM RD., #101, BIG BEAR LAKE, CA 92315
(909) 866-0606
(909) 866-5546
Mailing address
PO BOX 6951, 42002 FOX FARM RD. #101, BIG BEAR LAKE, CA 92315-6951
(909) 866-0606
(909) 866-5546
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
47917
CA
Other
Enumeration date
04/01/2008
Last updated
04/01/2008
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