Organization
PETER KIM, D.D.S., PROFESSIONAL CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER UNG KWON KIM D.D.S. (PRESIDENT)
(562) 402-4411
Entity
Organization
Contact information
Practice address
11899 DEL AMO BLVD, CERRITOS, CA 90703-7605
(562) 402-4411
(562) 402-5052
Mailing address
11899 DEL AMO BLVD, CERRITOS, CA 90703-7605
(562) 402-4411
(562) 402-5052
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
49769
CA
Other
Enumeration date
12/23/2013
Last updated
12/23/2013
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