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Organization

EDWARD KIM DENTAL CORP.

Active
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Organization

EDWARD KIM DENTAL CORP.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EDWARD KIM DDS (PRESIDENT)
(805) 582-1900
Entity
Organization

Contact information

Practice address
2685 COCHRAN ST, SIMI VALLEY, CA 93065-2664
(805) 582-1900
Mailing address
2685 COCHRAN ST, SIMI VALLEY, CA 93065-2664
(805) 582-1900

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
48729
CA

Other

Enumeration date
05/21/2007
Last updated
08/22/2020
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