Individual
AUDREY KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
930 SUNNYSLOPE RD STE B3, HOLLISTER, CA 95023-5616
(831) 647-4627
(831) 637-7017
Mailing address
17775 CALLE GRANADA, MORGAN HILL, CA 95037-2992
(716) 374-3273
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
61519
CA
Other
Enumeration date
07/30/2012
Last updated
09/29/2021
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