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1255752564
DIANA KIM
SAN DIEGO, CA
NPI
1255752564
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 63098)
Enumeration Date
2014-01-04
Last Update Date
2014-07-21
Business Address
-- DIANA KIM DDS
5060 LOGAN AVE
SAN DIEGO, CA 92113-3014
Phone number: 310-817-1898
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Mailing Address
-- DIANA KIM DDS
9819 FIELDTHORN ST
SAN DIEGO, CA 92127-4413
Phone number: 310-817-1898
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