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Organization
E KIM DENTAL CORP
Active
Organization
E KIM DENTAL CORP
Active
Other names
Valley Desert Dentist
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIN SEOK KIM (OFFICE MANAGER)
(909) 522-0116
Entity
Organization
Contact information
Practice address
21580 BEAR VALLEY RD., STE B2-2, APPLE VALLEY, CA 92308
(909) 522-0116
Mailing address
21580 BEAR VALLEY RD., STE B2-2, APPLE VALLEY, CA 92308
(909) 522-0116
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
62603
CA
Other
Enumeration date
06/06/2016
Last updated
07/13/2017
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