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Organization
KIM DENTAL CORPORATION
Active
Organization
KIM DENTAL CORPORATION
Active
Other names
Family Dental and Implant Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AUDREY KIM DDS (PRESIDENT)
(716) 374-3273
Entity
Organization
Contact information
Practice address
930 SUNNYSLOPE RD STE B3, HOLLISTER, CA 95023-5616
(831) 637-4627
Mailing address
17775 CALLE GRANADA, MORGAN HILL, CA 95037-2992
(716) 374-3273
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/09/2021
Last updated
08/09/2021
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