# KIM, HA, AND SAGONG DENTAL CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** David Kim, MD, DDS, Inc., Oral MaxillofacialSurgery Institute - Los Angeles
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962829143
- **Authorized official:** DR. JEE HOON HA DDS (VICE PRESIDENT)
- **Authorized official phone:** (213) 550-8701

## Contact information

- **Practice address:** 266 S HARVARD BLVD STE 220, LOS ANGELES, CA 90004-3854
- **Practice address phone:** (213) 999-7590
- **Practice address fax:** (213) 797-5579
- **Mailing address:** 266 S HARVARD BLVD STE 220, LOS ANGELES, CA 90004-3854
- **Mailing address phone:** (213) 999-7950
- **Mailing address fax:** (213) 797-5579

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 03/25/2014
- **Last updated:** 11/29/2022