Organization
KRISTI KIM DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTI KIM (CEO)
(224) 616-8337
Entity
Organization
Contact information
Practice address
621 S VIRGIL AVE STE 415, LOS ANGELES, CA 90005-4000
(213) 270-1077
Mailing address
621 S VIRGIL AVE STE 415, LOS ANGELES, CA 90005-4000
(213) 270-1077
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/06/2024
Last updated
08/06/2024
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