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Organization
TRUSMILE DENTAL HYGIENE PRACTICE OF KIM, INC.
Active
Organization
TRUSMILE DENTAL HYGIENE PRACTICE OF KIM, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA ANTONETTE KIM RDHAP (PRESIDENT)
(951) 922-4975
Entity
Organization
Contact information
Practice address
66 S SAN GORGONIO AVE STE 5, BANNING, CA 92220-6020
(951) 922-4975
(951) 922-4976
Mailing address
66 S SAN GORGONIO AVE STE 5, BANNING, CA 92220-6020
(951) 553-8235
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
11/19/2020
Last updated
03/04/2021
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