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Organization
WHITTIER MODERN DENTISTRY DENTAL GROUP
Active
Organization
WHITTIER MODERN DENTISTRY DENTAL GROUP
Active
Other names
Whittier Modern Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA M KIM DMD (OWNER DOCTOR)
(562) 513-1146
Entity
Organization
Contact information
Practice address
11806 WHITTIER BLVD STE E, WHITTIER, CA 90601-4622
(562) 513-1146
(562) 513-5142
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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