Organization
BRIAN SONGSU KIM
Active
Other names
HOMETOWN DENTAL CARE
Organization subpart
No
Provider details
NPI number
Authorized official
SYLVIA GARZA (OFFICE MANAGER)
(661) 758-3021
Entity
Organization
Contact information
Practice address
1245 7TH ST, WASCO, CA 93280-1820
(661) 758-3021
(661) 758-6980
Mailing address
1245 7TH ST, WASCO, CA 93280-1820
(661) 758-3021
(661) 758-6980
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/17/2007
Last updated
08/22/2020
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