| Changsook Kim Dds A Dental Corp | |
|
1755 E Huntington Dr #101 Duarte CA 91010 | |
| (626) 357-9909 | |
| (626) 358-7245 |
| Full Name | Changsook Kim Dds A Dental Corp |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1755 E Huntington Dr, Duarte, California |
| Authorized Official Name and Position | Changsook Kim (DENTIST) |
| Authorized Official Contact | 6263579909 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Changsook Kim Dds A Dental Corp 1755 E Huntington Drive #101 Duarte CA 91010 Ph: (626) 357-9909 | Changsook Kim Dds A Dental Corp 1755 E Huntington Dr #101 Duarte CA 91010 Ph: (626) 357-9909 |
| NPI Number | 1710018254 |
|---|---|
| Provider Enumeration Date | 03/08/2007 |
| Last Update Date | 07/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710018254 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 39166CA (California) | Secondary |
| 1223G0001X | Dentist - General Practice | 39166 (California) | Primary |
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