Individual
DANIELLE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
11404 VICTORY BLVD, NORTH HOLLYWOOD, CA 91606-3616
(818) 688-7655
Mailing address
2631 GREENFIELD AVE, LOS ANGELES, CA 90064-3127
(818) 632-0115
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
109526
CA
Other
Enumeration date
12/18/2023
Last updated
01/24/2024
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