| Henry Kim Dmd Pc | |
|
25982 Pala Ste 200 Mission Viejo CA 92691-6727 | |
| (949) 472-5499 | |
| Not Available |
| Full Name | Henry Kim Dmd Pc |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 25982 Pala Ste 200, Mission Viejo, California |
| Authorized Official Name and Position | Hyunyil Henry Kim (PRESIDENT) |
| Authorized Official Contact | 5612523981 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Henry Kim Dmd Pc 25982 Pala Ste 200 Mission Viejo CA 92691-6727 Ph: (949) 472-5499 | Henry Kim Dmd Pc 25982 Pala Ste 200 Mission Viejo CA 92691-6727 Ph: (949) 472-5499 |
| NPI Number | 1114391562 |
|---|---|
| Provider Enumeration Date | 11/23/2015 |
| Last Update Date | 11/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114391562 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | 64083 (California) | Primary |
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