| Henna Kim Dental Corp. | |
|
500 E Colorado St # 200 Glendale CA 91205-1607 | |
| (949) 697-3232 | |
| Not Available |
| Full Name | Henna Kim Dental Corp. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 500 E Colorado St # 200, Glendale, California |
| Authorized Official Name and Position | Henna Kim (PRESIDENT/ORTHODONTIST) |
| Authorized Official Contact | 9496973232 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Henna Kim Dental Corp. 2060 Barnett Rd Los Angeles CA 90032-4102 Ph: (949) 697-3232 | Henna Kim Dental Corp. 500 E Colorado St # 200 Glendale CA 91205-1607 Ph: (949) 697-3232 |
| NPI Number | 1285168641 |
|---|---|
| Provider Enumeration Date | 04/12/2017 |
| Last Update Date | 12/05/2022 |
| Certification Date | 12/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285168641 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 58338 (California) | Primary |
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