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General NPI Number Information
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NPI Number | 1740016559
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Entity Type | Organization
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Legal Business Name | DR. SOON NO KIM DDS INC
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Dates
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Enumeration Date | 09/09/2024
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Last Update Date | 09/09/2024
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Provider Practice Location Address
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Address Line | 2724 SEPULVEDA BLVD
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City | TORRANCE
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State | CA
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Zip | 90505-2952
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Country | US
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Telephone | 310-539-5300
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Fax |
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Provider Business Mailing Address
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Address Line | 2724 SEPULVEDA BLVD
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City | TORRANCE
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State | CA
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Zip | 90505-2952
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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 | OWNER DOCTOR
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Name | DR. SOON NO KIM
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Credential | DDS
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Telephone | 213-500-4509
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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