Organization
LOUIS M KIM, A PROFESSIONAL DENTAL CORPORATION
Active
Parent organization
LOUIS KIM DDS INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
LOUIS KIM DDS INC.
Authorized official
LOUIS KIM DDS (OWNER/DENTIST)
(916) 900-8521
Entity
Organization
Contact information
Practice address
1824 AVONDALE AVE, SACRAMENTO, CA 95825-1378
(916) 900-8521
(916) 900-8526
Mailing address
1824 AVONDALE AVE, SACRAMENTO, CA 95825-1378
(916) 900-8521
(916) 900-8526
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
53231
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174711522
—
CA
Enumeration date
10/02/2017
Last updated
03/17/2018
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