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Organization
DENTISTAR COMPREHENSIVE DENTAL CARE, INC.
Active
Organization
DENTISTAR COMPREHENSIVE DENTAL CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE G KIM D.D.S. (PRESIDENT)
(310) 963-1316
Entity
Organization
Contact information
Practice address
111 DEERWOOD RD, SUITE 350, SAN RAMON, CA 94583-4409
(925) 718-8970
(925) 718-8971
Mailing address
111 DEERWOOD RD, SUITE 350, SAN RAMON, CA 94583-4409
(925) 718-8970
(925) 718-8971
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
58619
CA
Other
Enumeration date
03/25/2016
Last updated
03/25/2016
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