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Individual

DR. TAERA KIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
680 WILSHIRE PL, SUITE 411, LOS ANGELES, CA 90005-3931
(213) 738-7077
Mailing address
5057 FULTON AVE, SHERMAN OAKS, CA 91423-1501
(213) 400-4938

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
56631
CA

Other

Enumeration date
12/06/2007
Last updated
03/05/2010
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