Organization
SKIM DDS INC
Active
Other names
Premier Dental Suite
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SONG K KIM (PRESIDENT)
(661) 349-8280
Entity
Organization
Contact information
Practice address
4635 E AVENUE S # C102, PALMDALE, CA 93552-4483
(661) 349-8280
Mailing address
4635 E AVENUE S # C102, PALMDALE, CA 93552-4483
(661) 349-8280
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
58863
CA
Other
Enumeration date
11/20/2017
Last updated
11/20/2017
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