Organization
A1CAREDENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUNG HYEB SIM DMD (OWNER)
(310) 830-3338
Entity
Organization
Contact information
Practice address
602 W SEPULVEDA BLVD, CARSON, CA 90745-6319
(310) 830-3338
(310) 830-3339
Mailing address
602 W SEPULVEDA BLVD, CARSON, CA 90745-6319
(310) 830-3338
(310) 830-3339
Taxonomy
Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
50371
CA
Other
Enumeration date
04/13/2007
Last updated
06/13/2008
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