Organization
K.S. KIM DENTAL INC
Active
Other names
Cal Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KWANG S KIM DDS (OWNER)
(818) 988-6393
Entity
Organization
Contact information
Practice address
7222 VAN NUYS BLVD, B, VAN NUYS, CA 91405-5864
(818) 988-6393
(818) 988-6395
Mailing address
7222 VAN NUYS BLVD, B, VAN NUYS, CA 91405-5864
(818) 988-6393
(818) 988-6395
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
50479
CA
Other
Enumeration date
03/25/2016
Last updated
03/25/2016
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