Organization · Type 2 NPI
Charles Kim Dental Corporation
Dental Clinic/Center · La Mirada, CA
NPI number
1396344073
Active
Practice location
15651 Imperial Hwy Ste 204
La Mirada, CA 90638-1653
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
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About NPI 1396344073
Charles Kim Dental Corporation's National Provider Identifier is 1396344073, issued on Oct 22, 2020. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in La Mirada, CA. The record was last updated on Oct 22, 2020.