Individual
AILEEN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S., M.S.
Contact information
Practice address
933 S SUNSET AVE, 208, WEST COVINA, CA 91790-3410
(626) 483-7714
Mailing address
1111 S GRAND AVE APT 706, LOS ANGELES, CA 90015-2169
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
61307
CA
Other
Enumeration date
07/24/2013
Last updated
03/05/2014
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