# GEORGE D. LIM, DMD, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GEORGE D. LIM, DMD, INC.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1558455998
- **Legal business name:** GEORGE D. LIM, DMD, INC.
- **Authorized official:** DR. GEORGE D. LIM (PRESIDENT)
- **Authorized official phone:** (310) 391-7173

## Contact information

- **Practice address:** 11725 W WASHINGTON BLVD, LOS ANGELES, CA 90066-5917
- **Practice address phone:** (310) 391-7173
- **Practice address fax:** (310) 391-7166
- **Mailing address:** 11725 W WASHINGTON BLVD, LOS ANGELES, CA 90066-5917
- **Mailing address phone:** (310) 391-7173
- **Mailing address fax:** (310) 391-7166

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 43190 | CA | Yes |

## Other

- **Enumeration date:** 10/02/2006
- **Last updated:** 05/08/2015