Individual
JANE LIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1211 N VERMONT AVE STE 102, LOS ANGELES, CA 90029-1748
(323) 666-7562
Mailing address
1211 N VERMONT AVE STE 102, LOS ANGELES, CA 90029-1748
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
50635
CA
1223P0221X
Pediatric Dentistry
Primary
50635
CA
Other
Enumeration date
01/24/2007
Last updated
12/15/2014
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