Organization
SEUNG HWAN KIM, DDS, INC
Active
Other names
PRIME DENTAL GROUP DR KIM
Organization subpart
No
Provider details
NPI number
Authorized official
SEUNG HWAN KIM DDS (OWNER)
(213) 505-2088
Entity
Organization
Contact information
Practice address
13252 CENTURY BLVD STE Q, GARDEN GROVE, CA 92843-1257
(714) 591-5190
Mailing address
13252 CENTURY BLVD STE Q, GARDEN GROVE, CA 92843-1257
(714) 591-5190
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
65350
CA
Other
Enumeration date
07/30/2017
Last updated
07/21/2022
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