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General NPI Number Information
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NPI Number | 1336360338
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Entity Type | Organization
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Legal Business Name | DANIEL K. KIM, DDS, INC
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 05/14/2015
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Provider Practice Location Address
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Address Line | 3993 VAN BUREN BLVD
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City | RIVERSIDE
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State | CA
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Zip | 92503-3620
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Country | US
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Telephone | 951-637-0808
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Fax | 951-637-1986
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Provider Business Mailing Address
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Address Line | 3993 VAN BUREN BLVD
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City | RIVERSIDE
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State | CA
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Zip | 92503-3620
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Country | US
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Telephone | 714-615-2875
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Fax | 951-637-1986
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Authorized Official
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Title or Position | OFFICE ADMINISTRATOR
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Name | MRS. GRACE L KIM
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Credential |
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Telephone | 714-615-2875
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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 | 35132
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License Number State | CA
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