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KIM SHIMAZU & LEE DENTAL CORP NPI 1629186176


NPI Information

NPI: 1629186176
Provider Name: KIM SHIMAZU & LEE DENTAL CORP

Doing Business As: IVY ENDODONTIC GROUP

Classification: Dentist - 1223E0200X
Entity Type: Organization

Specialization: Endodontics

Address:
12865 MAIN ST STE #201
GARDEN GROVE, CA
ZIP 92840
Phone: (714) 530-7888
Get Directions

KIM SHIMAZU & LEE DENTAL CORP is an endodontics dentist in Garden Grove, CA. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. KIM SHIMAZU & LEE DENTAL CORP NPI is 1629186176. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Ivy Endodontic Group.

The provider's business location address is:

12865 MAIN ST STE #201
GARDEN GROVE, CA
ZIP 92840
Phone: (714) 530-7888
Fax: (714) 530-1344

The provider's authorized official is Michael Hwangsuk Kim .
The authorized official title is Owner and has the following contact phone number (714) 530-7888.

The enumeration date for this NPI number is 8/25/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223E0200XDentistEndodontics36953CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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