Individual
ERICA TAMMY KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
18531 ROSCOE BLVD STE 207, NORTHRIDGE, CA 91324-5968
(818) 772-1800
Mailing address
18531 ROSCOE BLVD STE 207, NORTHRIDGE, CA 91324-5968
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DDS100080
CA
Other
Enumeration date
01/29/2016
Last updated
12/26/2019
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