Organization
ANDREW KIM DDS INC
Active
Other names
ENHANCE DENTAL LARCHMONT
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW KIM DDS (DOCTOR/AUTHORIZED OFFICIAL)
(562) 799-8300
Entity
Organization
Contact information
Practice address
646 N LARCHMONT BLVD, LOS ANGELES, CA 90004-1308
(323) 464-8677
Mailing address
646 N LARCHMONT BLVD, LOS ANGELES, CA 90004-1308
(323) 464-8677
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
11/05/2024
Last updated
11/05/2024
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