Organization
STEPHEN KIM DENTAL CORPORATION
Active
Other names
Linda Vista Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN KIM DDS (PRESIDENT)
(503) 679-8527
Entity
Organization
Contact information
Practice address
1041 E YORBA LINDA BLVD STE 301, PLACENTIA, CA 92870-3751
(714) 524-8866
Mailing address
601 SHERWOOD AVE, PLACENTIA, CA 92870-2323
(503) 679-8527
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/24/2022
Last updated
10/24/2022
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