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Organization
MATTHEW KIM DDS INC
Active
Organization
MATTHEW KIM DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW KIM DDS (CEO)
(209) 334-0760
Entity
Organization
Contact information
Practice address
1101 W TOKAY ST STE 2, LODI, CA 95240-3842
(209) 334-0760
Mailing address
1101 W TOKAY ST STE 2, LODI, CA 95240-3842
(209) 334-0760
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/16/2023
Last updated
10/16/2023
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