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General NPI Number Information
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NPI Number | 1790213890
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Entity Type | Organization
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Legal Business Name | DANIEL C KIM, DMD, PC
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Dates
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Enumeration Date | 06/01/2017
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Last Update Date | 12/11/2023
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Provider Practice Location Address
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Address Line | 2515A MISSION ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94110-2511
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Country | US
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Telephone | 415-641-1001
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Fax |
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Provider Business Mailing Address
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Address Line | 2513 MISSION ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94110-2511
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Country | US
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Telephone | 415-641-1001
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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. DANIEL CHARLES KIM
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Credential | DMD
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Telephone | 415-738-7488
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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 | 59578
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License Number State | CA
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