| Charles Kim Dental Corporation | |
|
15651 Imperial Hwy Ste 204 La Mirada CA 90638-1653 | |
| (562) 943-3794 | |
| Not Available |
| Full Name | Charles Kim Dental Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 15651 Imperial Hwy Ste 204, La Mirada, California |
| Authorized Official Name and Position | Charles Kim (OWNER DENTIST) |
| Authorized Official Contact | 5629433794 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Kim Dental Corporation 15651 Imperial Hwy Ste 204 La Mirada CA 90638-1653 Ph: (562) 943-3794 | Charles Kim Dental Corporation 15651 Imperial Hwy Ste 204 La Mirada CA 90638-1653 Ph: (562) 943-3794 |
| NPI Number | 1396344073 |
|---|---|
| Provider Enumeration Date | 10/22/2020 |
| Last Update Date | 10/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396344073 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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