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Organization
GEORGE D LIM DMD INC-ECHO PARK
Active
Organization
GEORGE D LIM DMD INC-ECHO PARK
Active
Parent organization
GEORGE D. LIM ,DMD, INC
Other names
George D Lim DMD Inc.
Organization subpart
Yes
Provider details
NPI number
Legal business name
GEORGE D. LIM ,DMD, INC
Authorized official
DR. GEORGE DIG LIM DMD (PRESIDENT)
(310) 753-9391
Entity
Organization
Contact information
Practice address
1569 W SUNSET BLVD FL 2, LOS ANGELES, CA 90026-3333
(213) 481-0777
Mailing address
1569 W SUNSET BLVD FL 2, LOS ANGELES, CA 90026-3333
(213) 481-0777
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
43190
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
243190
DELTA DENTAL OF CA
CA
01
—
G92264-02
DENTI-CAL PROVIDER NUMBER
CA
Enumeration date
06/25/2007
Last updated
11/02/2020
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