Kim, William Dae Won

Kim, William Dae Won is an individual health care provider with primary practice located at 2644 Foothill Blvd , La Crescenta CA 91214-3510. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Kim, William Dae Won can be contacted via phone (818) 639-8818.

Contact Information

Primary practice address
2644 Foothill Blvd La Crescenta CA 91214-3510
Phone: (818) 639-8818
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 103124 California

Profile Details

NPI number 1366923146
LBN Legal business name Kim, William Dae Won
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2018
Last updated Aug 28th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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