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Organization
LIFETIME DENTAL CARE
Active
Organization
LIFETIME DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS H. KIM D.D.S. (DENTIST)
(805) 933-9594
Entity
Organization
Contact information
Practice address
276 E HARVARD BLVD, SANTA PAULA, CA 93060-3372
(805) 933-9594
(805) 933-4548
Mailing address
276 E HARVARD BLVD, SANTA PAULA, CA 93060-3372
(805) 933-9594
(805) 933-4548
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/08/2007
Last updated
08/13/2008
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