Lisa Seongah Kim

NPI #1114615689 in La Puente, California

Provider Information

NPI Number
1114615689
Entity Type
Individual
Name
Lisa Seongah Kim
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Enumeration Date
Apr 24, 2023
Last Updated
Jul 10, 2023

Practice Location

Address
1643 N HACIENDA BLVD
ZIP Code
91744-1137
Phone
(626) 587-0100

Specialties & Taxonomy Codes

Specialty
Dentist

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