Individual
AMY KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13158 PALM PL, CERRITOS, CA 90703-1344
(562) 677-4942
Mailing address
13158 PALM PL, CERRITOS, CA 90703-1344
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
109535
CA
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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