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Individual
DR. GWANGSIG KIM I
Active
Individual
DR. GWANGSIG KIM I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
53609
CA
Other
Enumeration date
02/06/2008
Last updated
07/02/2011
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