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1710448766
GRACE KIM
MENIFEE, CA
NPI
1710448766
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: CA DDS107335)
Enumeration Date
2019-03-30
Last Update Date
2022-06-23
Business Address
GRACE KIM
29950 HAUN RD STE 302
MENIFEE, CA 92586-6527
Phone number: 951-679-1667
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Mailing Address
GRACE KIM
12626 CROSSDALE AVE
NORWALK, CA 90650-2671
Phone number: 562-565-7021
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