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Organization

INSOO KIM DDS INC

Active
Other names
beautiful smile dental care
Organization subpart
No

Provider details

NPI number
Authorized official
INSOO KIM DDS (PRESIDNT)
(714) 522-5565
Entity
Organization

Contact information

Practice address
4600 BEACH BLVD, BUENA PARK, CA 90621-1132
(714) 522-5565
(714) 522-5758
Mailing address
4600 BEACH BLVD, BUENA PARK, CA 90621-1132
(714) 522-5565
(714) 522-5758

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
30377
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1104094580
PERSONAL NPI
CA
Enumeration date
02/27/2017
Last updated
02/27/2017
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