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Organization
IL-SEON KIM, DDS, INC
Active
Organization
IL-SEON KIM, DDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IL SEON KIM DDS (OWNER)
(626) 964-1884
Entity
Organization
Contact information
Practice address
1722 DESIRE AVE, 201, ROWLAND HEIGHTS, CA 91748
(626) 964-1884
Mailing address
1722 DESIRE AVE, ROWLAND HEIGHTS, CA 91748-2968
(626) 964-1884
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
33302
CA
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
—
—
1223P0300X
Periodontics
—
—
1223P0700X
Prosthodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0008X
Oral and Maxillofacial Radiology Dentistry
—
—
Other
Enumeration date
07/12/2018
Last updated
07/12/2018
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