Kenny Young Kim Dds Inc | |
20147 Pioneer Blvd Lakewood CA 90715-1051 | |
(562) 924-0558 | |
Not Available |
Full Name | Kenny Young Kim Dds Inc |
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Speciality | Dentist |
Location | 20147 Pioneer Blvd, Lakewood, California |
Authorized Official Name and Position | Kenny Kim (PRESIDENT) |
Authorized Official Contact | 2138203494 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kenny Young Kim Dds Inc 14657 Via Pointe Del Sol Whittier CA 90604-1364 Ph: (213) 820-3494 | Kenny Young Kim Dds Inc 20147 Pioneer Blvd Lakewood CA 90715-1051 Ph: (562) 924-0558 |
NPI Number | 1033664172 |
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Provider Enumeration Date | 08/18/2016 |
Last Update Date | 08/18/2016 |
Identifier | Type | State | Issuer |
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1033664172 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 54955 (California) | Primary |
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