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1205565629
GRACE KIM
CYPRESS, CA
NPI
1205565629
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-06-09
Last Update Date
2024-06-27
Business Address
GRACE KIM DDS
5155 KATELLA AVE APT 309
CYPRESS, CA 90720-2957
Phone number: 860-405-5915
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Mailing Address
GRACE KIM DDS
5155 KATELLA AVE APT 309
CYPRESS, CA 90720-2957
Phone number: 860-405-5915
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