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Organization
SUNGHO KIM DDS INC
Active
Organization
SUNGHO KIM DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUNGHO KIM DDS (PRESIDENT)
(909) 528-2462
Entity
Organization
Contact information
Practice address
663 N WESTWOOD ST, B, PORTERVILLE, CA 93257-6930
(559) 781-3641
(559) 781-3690
Mailing address
663 N WESTWOOD ST, B, PORTERVILLE, CA 93257-6930
(559) 781-3641
(559) 781-3690
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
55848
CA
Other
Enumeration date
09/09/2009
Last updated
09/09/2009
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