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Peter Wooyoung Lim, DDS Valid NPI

Individual provider · General Practice Dentistry · Lake Forest, CA

NPI
1265086888
Type
Individual (Type 1)
Primary specialty
General Practice Dentistry (Dentist)
Specialty group
Dental Providers
Taxonomy code
1223G0001X
License number
104096 (CA)
Sex
Male
Sole proprietor
Yes
Enumerated
2019-07-31
Last updated
2019-11-13
Practice location
26741 Rancho Pkwy Ste 105a
Lake Forest, CA 92630-8710
(949) 716-4892

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