| William Dae Won Kim D.d.s. A Dental Corporation | |
|
906 N Vermont Ave Los Angeles CA 90029-3519 | |
| (323) 522-3382 | |
| Not Available |
| Full Name | William Dae Won Kim D.d.s. A Dental Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 906 N Vermont Ave, Los Angeles, California |
| Authorized Official Name and Position | William Dae Won Kim (DENTIST) |
| Authorized Official Contact | 2132705432 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| William Dae Won Kim D.d.s. A Dental Corporation 2485 Queensberry Rd Pasadena CA 91104-3440 Ph: () - | William Dae Won Kim D.d.s. A Dental Corporation 906 N Vermont Ave Los Angeles CA 90029-3519 Ph: (323) 522-3382 |
| NPI Number | 1639963473 |
|---|---|
| Provider Enumeration Date | 04/07/2025 |
| Last Update Date | 04/07/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639963473 | NPI | - | NPPES |
| 1366923146 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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