| Kristi Kim Dental Corporation | |
|
621 S Virgil Ave Ste 415 Los Angeles CA 90005-4000 | |
| (213) 270-1077 | |
| Not Available |
| Full Name | Kristi Kim Dental Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 621 S Virgil Ave Ste 415, Los Angeles, California |
| Authorized Official Name and Position | Kristi Kim (CEO) |
| Authorized Official Contact | 2246168337 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kristi Kim Dental Corporation 621 S Virgil Ave Ste 415 Los Angeles CA 90005-4000 Ph: (213) 270-1077 | Kristi Kim Dental Corporation 621 S Virgil Ave Ste 415 Los Angeles CA 90005-4000 Ph: (213) 270-1077 |
| NPI Number | 1700616430 |
|---|---|
| Provider Enumeration Date | 08/06/2024 |
| Last Update Date | 08/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700616430 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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