Individual
JOANNE SUNG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
7601 SEVILLE AVE, HUNTINGTON PARK, CA 90255-6029
(323) 587-6600
(323) 584-1778
Mailing address
7601 SEVILLE AVE, HUNTINGTON PARK, CA 90255-6029
(323) 587-6600
(323) 584-1778
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
57828
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
57828
STATE LICENSE
CA
Enumeration date
10/21/2008
Last updated
09/27/2010
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