Organization
JIN Y. KIM DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIN YOUNG KIM D.D.S. (PRESIDENT)
(323) 445-6144
Entity
Organization
Contact information
Practice address
9681 GARDEN GROVE BLVD STE 104, GARDEN GROVE, CA 92844-1548
(713) 539-8275
(714) 539-8284
Mailing address
9681 GARDEN GROVE BLVD STE 104, GARDEN GROVE, CA 92844-1548
(714) 539-8275
(714) 539-8284
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
54575
CA
1223P0700X
Prosthodontics
Primary
54575
CA
Other
Enumeration date
04/23/2008
Last updated
03/27/2020
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