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Organization

KIM SHIMAZU & LEE DENTAL CORP

Active
Other names
Ivy Endodontic Group
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL H KIM DDS (PRESIDENT)
(714) 530-7888
Entity
Organization

Contact information

Practice address
4040 BARRANCA PKWY, SUITE 135A, IRVINE, CA 92604
(949) 262-1300
Mailing address
4040 BARRANCA PKWY, SUITE 135A, IRVINE, CA 92604
(949) 262-1300

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DT36953
CA

Other

Enumeration date
01/31/2008
Last updated
01/31/2008
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