Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kim Shimazu & Lee Dental Corp

Organization Endodontics · NPI 1629186176

Kim Shimazu & Lee Dental Corp is an Endodontics in Garden Grove, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12865 Main St Ste #201
Garden Grove, CA 92840
Phone: (714) 530-7888
Fax: (714) 530-1344
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endodontics (primary) Taxonomy 1223E0200X · Licence 36953 (CA)

Record details

NPI number1629186176
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Kim — Owner · (714) 530-7888
Other names Ivy Endodontic Group
NPI enumeratedAugust 25, 2006
Last updated in NPPESAugust 22, 2020
Mailing address12865 Main St Ste #201, Garden Grove, CA 92840

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