Organization
CHANGSOOK KIM DDS A DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANGSOOK KIM DDS (DENTIST)
(626) 357-9909
Entity
Organization
Contact information
Practice address
1755 E HUNTINGTON DR, #101, DUARTE, CA 91010
(626) 357-9909
(626) 358-7245
Mailing address
1755 E HUNTINGTON DRIVE, #101, DUARTE, CA 91010
(626) 357-9909
(626) 358-7245
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
39166CA
CA
1223G0001X
General Practice Dentistry
Primary
39166
CA
Other
Enumeration date
03/08/2007
Last updated
07/11/2008
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