Organization
LAKEWOOD OMF SURGERY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID HWAN KIM M.D., D.D.S. (PRESIDENT)
(562) 421-9369
Entity
Organization
Contact information
Practice address
4448 E VILLAGE RD, LONG BEACH, CA 90808-1540
(562) 421-9369
(562) 420-8950
Mailing address
4448 E VILLAGE RD, LONG BEACH, CA 90808-1540
(562) 421-9369
(562) 420-8950
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
A87499
CA
Other
Enumeration date
05/24/2011
Last updated
05/24/2011
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