| Sean Kim, DDS, Inc. | |
|
1213 N Lake Ave Pasadena CA 91104-3768 | |
| (626) 584-1800 | |
| Not Available |
| Full Name | Sean Kim, DDS, Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1213 N Lake Ave, Pasadena, California |
| Authorized Official Name and Position | Sean Sunyoto (DENTIST) |
| Authorized Official Contact | 6265102606 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sean Kim, DDS, Inc. 936 Crenshaw Blvd Ste 101 Los Angeles CA 90019-1948 | Sean Kim, DDS, Inc. 1213 N Lake Ave Pasadena CA 91104-3768 Ph: (626) 584-1800 |
| NPI Number | 1306323035 |
|---|---|
| Provider Enumeration Date | 07/25/2018 |
| Last Update Date | 07/25/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306323035 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 102689 (California) | Primary |
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