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Louis M Kim, A Professional Dental Corporation
Dental Clinic/Center in Sacramento, California
NPI 1104336478

Louis M Kim, A Professional Dental Corporation is a Dental Clinic/Center based in Sacramento, CA and is specialized in Dental. Louis M Kim, A Professional Dental Corporation practices in Sacramento, CA. The NPI Number for Louis M Kim, A Professional Dental Corporation is 1104336478 and holds a License No. 53231 (California).

The current practice location address for Louis M Kim, A Professional Dental Corporation is 1824 Avondale Ave, Sacramento, CA and can be reached out via phone at 916-900-8521 and via fax at 916-900-8526.

Location: 1824 Avondale Ave, Sacramento, CA, 95825-1378
institution
Provider Profile Details
NPI Number
1104336478
Provider Name
Louis M Kim, A Professional Dental Corporation
Credential
Provider Entity Type
Organization
Address
1824 Avondale Ave, Sacramento, CA, 95825-1378
Phone Number
916-900-8521
Fax Number
916-900-8526
Provider Enumeration Date
10/02/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1174711522 05 CA
institution
Provider Business Practice Location Address Details
Address
1824 Avondale Ave
City
State
Zip
95825-1378
Phone Number
916-900-8521
Fax Number
916-900-8526
person
Provider Business Mailing Address Details
Address
1824 Avondale Ave
City
State
Zip
95825-1378
Phone Number
916-900-8521
Fax Number
916-900-8526
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
53231 (California)
Definition
Definition to come...
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