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Organization
SEUNG HWAN KIM, DDS, INC
Active
Organization
SEUNG HWAN KIM, DDS, INC
Active
Other names
PRIME DENTAL GROUP DR KIM
Organization subpart
No
Provider details
NPI number
Authorized official
SEUNG HWAN KIM DDS (OWNER)
(213) 505-2088
Entity
Organization
Contact information
Practice address
13252 CENTURY BLVD STE Q, GARDEN GROVE, CA 92843-1257
(714) 591-5190
Mailing address
13252 CENTURY BLVD STE Q, GARDEN GROVE, CA 92843-1257
(714) 591-5190
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
65350
CA
Other
Enumeration date
07/30/2017
Last updated
07/21/2022
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