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1679248850
MICHAEL KIM
RANCHO CUCAMONGA, CA
NPI
1679248850
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 106817)
Enumeration Date
2021-08-10
Last Update Date
2021-08-10
Business Address
MICHAEL KIM
12455 VICTORIA GARDENS LN
RANCHO CUCAMONGA, CA 91739-7530
Phone number: 909-646-3057
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Mailing Address
MICHAEL KIM
12167 DANVILLE DR
RANCHO CUCAMONGA, CA 91739-2449
Phone number: 323-537-5322
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