Organization
HENNA KIM DENTAL CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENNA KIM (PRESIDENT/ORTHODONTIST)
(949) 697-3232
Entity
Organization
Contact information
Practice address
500 E COLORADO ST # 200, GLENDALE, CA 91205-1607
(949) 697-3232
Mailing address
2060 BARNETT RD, LOS ANGELES, CA 90032-4102
(949) 697-3232
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
58338
CA
Other
Enumeration date
04/12/2017
Last updated
12/05/2022
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