Organization
WANGPICHIT AND KIM PROFESSIONAL DENTAL CORPORATION
Active
Other names
Kids Smile Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ILJOON KIM D.M.D. (SECRETARY)
(562) 924-5437
Entity
Organization
Contact information
Practice address
11700 SOUTH ST, SUITE 202, ARTESIA, CA 90701-6611
(562) 924-5437
Mailing address
11700 SOUTH ST, SUITE 202, ARTESIA, CA 90701-6611
(562) 924-5437
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
47921
CA
Other
Enumeration date
09/17/2007
Last updated
09/17/2007
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