| Andrew Kim Dds Inc | |
|
646 N Larchmont Blvd Los Angeles CA 90004-1308 | |
| (323) 464-8677 | |
| Not Available |
| Full Name | Andrew Kim Dds Inc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 646 N Larchmont Blvd, Los Angeles, California |
| Authorized Official Name and Position | Andrew Kim (DOCTOR/AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 5627998300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew Kim Dds Inc 646 N Larchmont Blvd Los Angeles CA 90004-1308 Ph: (323) 464-8677 | Andrew Kim Dds Inc 646 N Larchmont Blvd Los Angeles CA 90004-1308 Ph: (323) 464-8677 |
| NPI Number | 1083437396 |
|---|---|
| Provider Enumeration Date | 11/05/2024 |
| Last Update Date | 11/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083437396 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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