Organization
KWANG JIN KIM DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KWANG JIN KIM D.D.S (PRESIDENT)
(310) 679-3300
Entity
Organization
Contact information
Practice address
3300 W ROSECRANS AVE STE 105, HAWTHORNE, CA 90250-8218
(310) 679-3300
(310) 679-3932
Mailing address
3300 W ROSECRANS AVE STE 105, HAWTHORNE, CA 90250-8218
(310) 679-3300
(310) 679-3932
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
31300
CA
Other
Enumeration date
08/25/2014
Last updated
08/25/2014
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