Provider Demographics
NPI:1548476054
Name:MELVIN A. KUM, DMD
Entity type:Organization
Organization Name:MELVIN A. KUM, DMD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:MELVIN
Authorized Official - Middle Name:A
Authorized Official - Last Name:KUM
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:818-848-3322
Mailing Address - Street 1:2701 W ALAMEDA AVE
Mailing Address - Street 2:SUITE 600
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91505-4402
Mailing Address - Country:US
Mailing Address - Phone:818-848-3322
Mailing Address - Fax:818-845-7142
Practice Address - Street 1:2701 W ALAMEDA AVE
Practice Address - Street 2:SUITE 600
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-4402
Practice Address - Country:US
Practice Address - Phone:818-848-3322
Practice Address - Fax:818-845-7142
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA0321101223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty