Individual
AMANDA YJ KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
714 TIVERTON AVE, LOS ANGELES, CA 90095-8361
(408) 529-4423
Mailing address
714 TIVERTON AVE, LOS ANGELES, CA 90095-8361
(310) 825-9295
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
107393
CA
Other
Enumeration date
06/01/2020
Last updated
02/02/2024
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