Andrew Kim DDS INC
Dentist, Oral and Maxillofacial Surgery in Los Angeles, CA. Organization (NPI-2).
NPI number1083437396
StatusActive
Last updated in NPPESNov 5, 2024
Details
- NPI
- 1083437396
- Entity type
- Organization (NPI-2)
- Legal business name
- Andrew Kim DDS INC
- Organization subpart
- No
- Enumeration date
- Nov 5, 2024
- Certification date
- Nov 5, 2024
- Last updated
- Nov 5, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | – | – | Yes |
| 261QD0000X | Clinic/Center, Dental | – | – |
Other names
- Enhance Dental Larchmont (Doing Business As)
Practice location
646 N Larchmont BlvdLos Angeles, CA 90004-1308
Phone 323-464-8677
Mailing address
646 N Larchmont BlvdLos Angeles, CA 90004-1308
Phone 323-464-8677
Authorized official
Andrew Kim
Doctor/Authorized Official
5627998300
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