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General NPI Number Information
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NPI Number | 1114174216
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Entity Type | Organization
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Legal Business Name | YOUNG KIM D.D.S. INC.
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Dates
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Enumeration Date | 08/20/2008
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Last Update Date | 08/20/2008
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Provider Practice Location Address
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Address Line | 204 N PACIFIC AVE
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City | SAN PEDRO
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State | CA
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Zip | 90731-2016
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Country | US
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Telephone | 310-832-8800
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Fax | 310-832-8801
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Provider Business Mailing Address
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Address Line | 204 NORTH PACIFIC AVE
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City | SAN PEDRO
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State | CA
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Zip | 90731
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Country | US
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Telephone | 310-832-8800
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Fax | 310-832-8801
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. YOUNG KIM
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Credential | D.D.S.
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Telephone | 310-832-8800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 31939
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License Number State | CA
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