Peter Kim, D.d.s., Professional Corp.
NPI #1376964064 in Cerritos, California
Provider Information
- NPI Number
- 1376964064
- Entity Type
- Organization
- Organization Name
- Peter Kim, D.d.s., Professional Corp.
- Primary Specialty
- Preferred Provider Organization
- Enumeration Date
- Dec 23, 2013
- Last Updated
- Dec 23, 2013
Practice Location
- Address
- 11899 DEL AMO BLVD
- City
- Cerritos
- State
- California
- ZIP Code
- 90703-7605
- Phone
- (562) 402-4411
Authorized Official
- Name
- DR. PETER UNG KWON KIM, D.D.S.
- Title
- PRESIDENT
- Phone
- (562) 402-4411
Specialties & Taxonomy Codes
| Specialty |
|---|
| Preferred Provider Organization |
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