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General NPI Number Information
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NPI Number | 1306436282
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Entity Type | Organization
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Legal Business Name | KATHLEEN S. LIM, DDS, P.C.
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Dates
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Enumeration Date | 01/25/2021
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Last Update Date | 01/25/2021
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Provider Practice Location Address
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Address Line | 18102 IRVINE BLVD STE 101
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City | TUSTIN
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State | CA
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Zip | 92780-3423
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Country | US
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Telephone | 714-838-9120
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Fax | 714-838-9161
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Provider Business Mailing Address
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Address Line | 18102 IRVINE BLVD STE 101
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City | TUSTIN
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State | CA
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Zip | 92780-3423
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Country | US
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Telephone | 714-838-9120
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Fax | 714-838-9161
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. KATHLEEN SUN LIM
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Credential | DDS
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Telephone | 714-838-9120
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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