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1811668122
CHANYOUNG KIM
LOMA LINDA, CA
NPI
1811668122
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 106313)
Enumeration Date
2021-09-26
Last Update Date
2021-09-26
Business Address
CHANYOUNG KIM
25022 PROSPECT AVE APT B
LOMA LINDA, CA 92354-2955
Phone number: 951-776-6037
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Mailing Address
CHANYOUNG KIM
25022 PROSPECT AVE APT B
LOMA LINDA, CA 92354-2955
Phone number: 951-776-6037
Copy
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