Ivy Endodontic Group

LBN: Kim Shimazu & Lee Dental Corp
Ivy Endodontic Group is an health care organization with primary practice located at 12865 Main St Ste #201 , Garden Grove CA 92840. The organization recently has only one registered license in Dental Providers / Endodontics, which is considered as the primary health care specialty. Kim Shimazu & Lee Dental Corp can be contacted via phone (714) 530-7888, or through Kim, Michael Hwangsuk via phone (714) 530-7888.

Contact Information

Primary practice address
12865 Main St Ste #201 Garden Grove CA 92840
Phone: (714) 530-7888
Fax: (714) 530-1344
Website:
Map and Directions
Authorized official contact:
Name: Kim, Michael Hwangsuk Doctor of Dental Surgery (DDS)
Phone: (714) 530-7888

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 36953 California

Profile Details

NPI number 1629186176
LBN Legal business name Kim Shimazu & Lee Dental Corp
DBA Doing business as Ivy Endodontic Group
Authorized official Kim, Michael Hwangsuk Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 25th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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