Organization
INSOO KIM DDS INC
Active
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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