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General NPI Number Information
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NPI Number | 1104131101
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Entity Type | Individual
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Provider Name | JANET HOJUNG KIM D.D.S
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Gender | Female
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Dates
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Enumeration Date | 08/13/2010
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Last Update Date | 04/30/2024
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Provider Practice Location Address
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Address Line | 1981 SUNNY CREST DR STE 300
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City | FULLERTON
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State | CA
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Zip | 92835-3649
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Country | US
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Telephone | 714-526-5200
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Fax | 714-526-5656
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Provider Business Mailing Address
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Address Line | 1981 SUNNY CREST DR STE 300
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City | FULLERTON
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State | CA
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Zip | 92835-3649
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Country | US
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Telephone | 714-526-5200
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Fax | 714-526-5656
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 58423
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License Number State | CA
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