Grace Kim Dental Corporation

NPI #1932578101 in Glendora, California

Provider Information

NPI Number: 1932578101
Entity Type: Organization
Organization Name: Grace Kim Dental Corporation
Primary Specialty: Dentist
Enumeration Date: Sep 17, 2015
Last Updated: Sep 17, 2015

Practice Location

Address: 1770 S BARRANCA AVE
City: Glendora
State: California
ZIP Code: 91740-5421
Phone: (626) 339-4600

Authorized Official

Name: DR. GRACE MIJIN KIM, D.D.S
Title: PRESIDENT
Phone: (626) 339-4600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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