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Organization
YOUNG RAE KIM, DDS INC
Active
Organization
YOUNG RAE KIM, DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YOUNG RAE KIM DDS (PRESIDENT)
(562) 982-1380
Entity
Organization
Contact information
Practice address
12144 E. CARSON STREET, SUITE E, HAWAIIAN GARDENS, CA 90716-1171
(562) 982-1380
(562) 982-1383
Mailing address
12144 E. CARSON STREET, SUITE E, HAWAIIAN GARDENS, CA 90716-1171
(562) 982-1380
(562) 982-1383
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
59862
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205137999
DENTICAL
CA
Enumeration date
11/29/2012
Last updated
11/29/2012
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