Organization
VALENCIA CHILDREN'S DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSE E KIM DDS (PRESIDENT)
(661) 294-1800
Entity
Organization
Contact information
Practice address
27885 SMYTH DR, VALENCIA, CA 91355-4011
(661) 294-1800
(661) 294-9774
Mailing address
27885 SMYTH DR, VALENCIA, CA 91355-4011
(661) 294-1800
(661) 294-9774
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
39025
CA
1223P0221X
Pediatric Dentistry
41287
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
41287
CA
Other
Enumeration date
03/14/2007
Last updated
04/20/2008
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