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General NPI Number Information
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NPI Number | 1194999219
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Entity Type | Organization
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Legal Business Name | DR HWAYOUN KIM DDS INC
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Dates
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Enumeration Date | 04/18/2008
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Last Update Date | 04/21/2022
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Provider Practice Location Address
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Address Line | 3307 ALTA ARDEN EXPY
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City | SACRAMENTO
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State | CA
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Zip | 95825-2102
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Country | US
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Telephone | 916-974-1819
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Fax | 916-974-7568
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Provider Business Mailing Address
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Address Line | 3307 ALTA ARDEN EXPY
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City | SACRAMENTO
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State | CA
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Zip | 95825-2102
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Country | US
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Telephone | 916-974-1819
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Fax | 916-974-7568
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HWA YOUN KIM
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Credential | D.D.S. PHD.
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Telephone | 916-974-1819
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 45891
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License Number State | CA
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