Organization
WILLIAM DAE WON KIM D.D.S. A DENTAL CORPORATION
Active
Other names
oxy dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM DAE WON KIM DDS (DENTIST)
(213) 270-5432
Entity
Organization
Contact information
Practice address
906 N VERMONT AVE, LOS ANGELES, CA 90029-3519
(323) 522-3382
Mailing address
2485 QUEENSBERRY RD, PASADENA, CA 91104-3440
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366923146
—
CA
Enumeration date
04/07/2025
Last updated
04/07/2025
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