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General NPI Number Information
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NPI Number | 1952262636
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Entity Type | Organization
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Legal Business Name | MARIE KIM DDS., INC
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Dates
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Enumeration Date | 11/21/2025
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Last Update Date | 11/21/2025
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Provider Practice Location Address
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Address Line | 3054 W 8TH ST STE 106
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City | LOS ANGELES
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State | CA
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Zip | 90005-1895
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Country | US
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Telephone | 213-384-2864
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Fax |
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Provider Business Mailing Address
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Address Line | 3054 W 8TH ST STE 106
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City | LOS ANGELES
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State | CA
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Zip | 90005-1895
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Country | US
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Telephone | 213-384-2864
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | MARIE KIM
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Credential |
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Telephone | 213-384-2864
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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