Organization
SEAN KIM, DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEAN SUNYOTO DDS (DENTIST)
(626) 510-2606
Entity
Organization
Contact information
Practice address
1213 N LAKE AVE, PASADENA, CA 91104-3768
(626) 584-1800
Mailing address
936 CRENSHAW BLVD STE 101, LOS ANGELES, CA 90019-1948
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
102689
CA
Other
Enumeration date
07/25/2018
Last updated
07/25/2018
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