| Kenny Young Kim Dds Inc | |
|
20147 Pioneer Blvd Lakewood CA 90715-1051 | |
| (562) 924-0558 | |
| Not Available |
| Full Name | Kenny Young Kim Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 20147 Pioneer Blvd, Lakewood, California |
| Authorized Official Name and Position | Kenny Kim (PRESIDENT) |
| Authorized Official Contact | 2138203494 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenny Young Kim Dds Inc 14657 Via Pointe Del Sol Whittier CA 90604-1364 Ph: (213) 820-3494 | Kenny Young Kim Dds Inc 20147 Pioneer Blvd Lakewood CA 90715-1051 Ph: (562) 924-0558 |
| NPI Number | 1033664172 |
|---|---|
| Provider Enumeration Date | 08/18/2016 |
| Last Update Date | 08/18/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033664172 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 54955 (California) | Primary |
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