| Dr. Lim Dental | |
|
10120 Alondra Blvd Bellflower CA 90706-3904 | |
| (562) 920-6644 | |
| (562) 920-6634 |
| Full Name | Dr. Lim Dental |
|---|---|
| Speciality | Dentist |
| Location | 10120 Alondra Blvd, Bellflower, California |
| Authorized Official Name and Position | Sarah Galvez Lim (EXECUTIVE SECRETARY) |
| Authorized Official Contact | 5629206644 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Lim Dental 10120 Alondra Blvd Bellflower CA 90706-3904 Ph: (562) 920-6644 | Dr. Lim Dental 10120 Alondra Blvd Bellflower CA 90706-3904 Ph: (562) 920-6644 |
| NPI Number | 1992997845 |
|---|---|
| Provider Enumeration Date | 08/14/2007 |
| Last Update Date | 06/22/2010 |
| Medicare PECOS PAC ID | 3173856309 |
|---|---|
| Medicare Enrollment ID | O20190603002943 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992997845 | NPI | - | NPPES |
| B3831901 | Other | CA | DENTI-CAL |
| G9162801 | Other | CA | DENTI-CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 37221 (California) | Secondary |
| 1223G0001X | Dentist - General Practice | 38319 (California) | Primary |
| Provider Name | John Sancho Lim |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1578783916 PECOS PAC ID: 4082947213 Enrollment ID: I20190603003109 |
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