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Organization
KIM & DIEP DENTAL CORPORATION
Active
Organization
KIM & DIEP DENTAL CORPORATION
Active
Other names
Placentia Dental Studio
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL DIEP DDS (PRESIDENT)
(714) 335-0514
Entity
Organization
Contact information
Practice address
200 N BRADFORD AVE STE A, PLACENTIA, CA 92870-5646
(714) 572-0170
Mailing address
200 N BRADFORD AVE STE A, PLACENTIA, CA 92870-5646
(714) 572-0170
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
51573
CA
Other
Enumeration date
01/19/2017
Last updated
01/19/2017
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