James Myung Ju Kim Dds Inc | |
3800 W El Segundo Blvd Suite 203 Hawthorne CA 90250-4677 | |
(310) 679-0697 | |
(310) 679-9813 |
Full Name | James Myung Ju Kim Dds Inc |
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Speciality | Dentist - General Practice |
Location | 3800 W El Segundo Blvd, Hawthorne, California |
Authorized Official Name and Position | James Myung Ju Kim (PRESIDENT) |
Authorized Official Contact | 3106790697 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
James Myung Ju Kim Dds Inc 3800 W El Segundo Blvd Suite 203 Hawthorne CA 90250-4677 Ph: (310) 679-0697 | James Myung Ju Kim Dds Inc 3800 W El Segundo Blvd Suite 203 Hawthorne CA 90250-4677 Ph: (310) 679-0697 |
NPI Number | 1629251954 |
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Provider Enumeration Date | 12/10/2007 |
Last Update Date | 12/10/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629251954 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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