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Organization
JOHN KIM DDS, INC
Active
Organization
JOHN KIM DDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNNY K KIM (OWNER)
(323) 617-4180
Entity
Organization
Contact information
Practice address
906 N. VERMONT AVE., LOS ANGELES, CA 90029-3915
(323) 522-3382
(323) 934-4787
Mailing address
936 CRENSHAW BLVD #100, LOS ANGELES, CA 90019-1957
(323) 617-4180
(323) 617-4181
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
34860
CA
Other
Enumeration date
12/29/2011
Last updated
02/28/2020
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