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Organization
JD KIM PROFESSIONAL DENTAL CORP.
Active
Organization
JD KIM PROFESSIONAL DENTAL CORP.
Active
Other names
Park Avenue Cosmetic Denistry
Organization subpart
No
Provider details
NPI number
Authorized official
JOO HYUNG HYUNG KIM DDS (CEO/DENTIST)
(213) 595-1410
Entity
Organization
Contact information
Practice address
1220 N PARK AVE, POMONA, CA 91768-3029
(909) 397-9791
Mailing address
1220 N PARK AVE, POMONA, CA 91768-3029
(909) 397-9791
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/05/2019
Last updated
09/09/2020
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