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Individual

NAMGU KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
11635 SOUTH ST, ARTESIA, CA 90701-6628
(562) 924-4401
Mailing address
11315 SCOTT CREEK DR SW, OLYMPIA, WA 98512-9036
(503) 686-4289

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
106535
CA
390200000X
Student in an Organized Health Care Education/Training Program
NV

Other

Enumeration date
05/14/2018
Last updated
08/06/2021
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