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Organization

A.S. KIM DDS, INC.

Active
Other names
Village Hillcrest Dental
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANNE SOOYUN KIM DDS (CEO)
(734) 657-9694
Entity
Organization

Contact information

Practice address
501 WASHINGTON ST STE 740, SAN DIEGO, CA 92103-2231
(619) 296-2172
Mailing address
3915 LA CRESTA WAY, BONITA, CA 91902-2575
(734) 657-9694
(619) 296-2178

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
55536
CA

Other

Enumeration date
10/10/2016
Last updated
04/26/2021
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