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General NPI Number Information
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NPI Number | 1346758885
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Entity Type | Organization
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Legal Business Name | FRANCISCO KIM DDS INC
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Dates
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Enumeration Date | 01/18/2018
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Last Update Date | 09/13/2023
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Provider Practice Location Address
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Address Line | 1150 N HARBOR BLVD STE 154
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City | ANAHEIM
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State | CA
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Zip | 92801-2400
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Country | US
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Telephone | 714-635-1021
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Fax |
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Provider Business Mailing Address
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Address Line | 1150 N HARBOR BLVD STE 154
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City | ANAHEIM
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State | CA
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Zip | 92801-2400
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. FRANCISCO LUIS KIM
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Credential | DDS
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Telephone | 714-635-1021
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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 | DDS60471
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License Number State | CA
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