| Dj Dental Group, Kim & Kim Professional Corp | |
|
4887 La Palma Ave La Palma CA 90623-2019 | |
| (714) 778-6614 | |
| (562) 402-6377 |
| Full Name | Dj Dental Group, Kim & Kim Professional Corp |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4887 La Palma Ave, La Palma, California |
| Authorized Official Name and Position | Joowon Kim (PRESIDENT) |
| Authorized Official Contact | 7147786614 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dj Dental Group, Kim & Kim Professional Corp 4887 La Palma Ave La Palma CA 90623-2019 Ph: (714) 778-6614 | Dj Dental Group, Kim & Kim Professional Corp 4887 La Palma Ave La Palma CA 90623-2019 Ph: (714) 778-6614 |
| NPI Number | 1073854139 |
|---|---|
| Provider Enumeration Date | 03/13/2013 |
| Last Update Date | 03/13/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073854139 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 54775 (California) | Primary |
| 1223G0001X | Dentist - General Practice | 54886 (California) | Secondary |
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