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Organization
DOUGLAS KIM DDS INC
Active
Organization
DOUGLAS KIM DDS INC
Active
Other names
FIRST DENTAL CARE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS KIM DDS (OWNER)
(562) 217-3382
Entity
Organization
Contact information
Practice address
2801 W BALL RD, #10, ANAHEIM, CA 92804-4900
(714) 527-5656
(714) 527-7412
Mailing address
2801 W BALL RD, #10, ANAHEIM, CA 92804-4900
(714) 527-5656
(714) 527-7412
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
63129
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083045173
NPI TYPE 1
CA
Enumeration date
06/15/2015
Last updated
06/15/2015
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