Organization
HEIVI KIM DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEIVI KIM DDS (DDS/OWNER)
(213) 718-0811
Entity
Organization
Contact information
Practice address
2321 E FLORENCE AVE, HUNTINGTON PARK, CA 90255-5620
(213) 718-0811
Mailing address
2321 E FLORENCE AVE, HUNTINGTON PARK, CA 90255-5620
(213) 718-0811
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
63356
CA
Other
Enumeration date
08/14/2017
Last updated
02/04/2021
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