Organization
GITAE KIM DENTAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GITAE KIM DDS (DENTIST AND OWNER)
(213) 384-2864
Entity
Organization
Contact information
Practice address
3054 W 8TH ST STE 106, LOS ANGELES, CA 90005-1895
(213) 384-2864
(213) 384-2386
Mailing address
3054 W 8TH ST STE 106, LOS ANGELES, CA 90005-1895
(213) 384-2864
(213) 384-2386
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
58750
CA
Other
Enumeration date
01/04/2018
Last updated
01/04/2018
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