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Organization
A.S. KIM DDS, INC.
Active
Organization
A.S. KIM DDS, INC.
Active
Other names
Village Hillcrest Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANNE SOOYUN KIM DDS (CEO)
(734) 657-9694
Entity
Organization
Contact information
Practice address
501 WASHINGTON ST STE 740, SAN DIEGO, CA 92103-2231
(619) 296-2172
Mailing address
3915 LA CRESTA WAY, BONITA, CA 91902-2575
(734) 657-9694
(619) 296-2178
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
55536
CA
Other
Enumeration date
10/10/2016
Last updated
04/26/2021
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