Provider Demographics
NPI:1497318885
Name:YOON S. KIM DDS INC.
Entity Type:Organization
Organization Name:YOON S. KIM DDS INC.
Other - Org Name:UNION DENTAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:YOON
Authorized Official - Middle Name:SUNG
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:213-483-0772
Mailing Address - Street 1:1517 W 6TH ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90017-1708
Mailing Address - Country:US
Mailing Address - Phone:213-483-0772
Mailing Address - Fax:213-483-1574
Practice Address - Street 1:1517 W 6TH ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90017-1708
Practice Address - Country:US
Practice Address - Phone:213-483-0772
Practice Address - Fax:213-483-1574
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-21
Last Update Date:2019-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty