| Edward Kim Dental Corp. | |
|
2685 Cochran St Simi Valley CA 93065-2664 | |
| (805) 582-1900 | |
| Not Available |
| Full Name | Edward Kim Dental Corp. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2685 Cochran St, Simi Valley, California |
| Authorized Official Name and Position | Edward Kim (PRESIDENT) |
| Authorized Official Contact | 8055821900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edward Kim Dental Corp. 2685 Cochran St Simi Valley CA 93065-2664 Ph: (805) 582-1900 | Edward Kim Dental Corp. 2685 Cochran St Simi Valley CA 93065-2664 Ph: (805) 582-1900 |
| NPI Number | 1598974404 |
|---|---|
| Provider Enumeration Date | 05/21/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598974404 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 48729 (California) | Primary |
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