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Organization
GAMINCHI AND KIM DENTAL CORPORATION
Active
Organization
GAMINCHI AND KIM DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMMA KIM D.M.D. (CO-OWNER)
(562) 944-4745
Entity
Organization
Contact information
Practice address
15651 IMPERIAL HWY STE 105, LA MIRADA, CA 90638-1600
(562) 944-4745
(562) 944-4745
Mailing address
15651 IMPERIAL HWY STE 105, LA MIRADA, CA 90638-1600
(562) 944-4745
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
43994
CA
1223G0001X
General Practice Dentistry
54813
CA
1223P0300X
Periodontics
41407
CA
1223P0300X
Periodontics
45238
CA
Other
Enumeration date
01/31/2007
Last updated
06/12/2024
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