| Rick T Kim A Professional Dental Corp | |
|
21012 Norwalk Blvd Lakewood CA 90715-1503 | |
| (562) 860-8828 | |
| (562) 860-0444 |
| Full Name | Rick T Kim A Professional Dental Corp |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 21012 Norwalk Blvd, Lakewood, California |
| Authorized Official Name and Position | Rick T Kim (CEO) |
| Authorized Official Contact | 5628608828 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rick T Kim A Professional Dental Corp 21012 Norwalk Blvd Lakewood CA 90715-1503 Ph: (562) 860-8828 | Rick T Kim A Professional Dental Corp 21012 Norwalk Blvd Lakewood CA 90715-1503 Ph: (562) 860-8828 |
| NPI Number | 1457548182 |
|---|---|
| Provider Enumeration Date | 09/26/2007 |
| Last Update Date | 09/26/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457548182 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 48622 (California) | Primary |
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