GITAE KIM DENTAL GROUP INC NPI 1962919571

NPI Information

GITAE KIM DENTAL GROUP INC is a dental clinic center in Los Angeles, CA. GITAE KIM DENTAL GROUP INC NPI is 1962919571. The provider is registered as an organization entity type.

The provider's business location address is:

3054 W 8TH ST STE 106
LOS ANGELES, CA
ZIP 90005-895
Phone: (213) 384-2864
Fax: (213) 384-2386

The provider's authorized official is Gitae Kim .
The authorized official title is Dentist And Owner and has the following contact phone number (213) 384-2864.

The enumeration date for this NPI number is 1/4/2018 and was last updated on 1/4/2018.

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:

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