Individual
DR. KIM JON DIPASQUALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS MS
Contact information
Practice address
500 SO ANAHEIM HILLS ROAD, SUITE 222, ANAHEIM HILLS, CA 92807
(714) 974-5906
(714) 974-5982
Mailing address
500 SO ANAHEIM HILLS ROAD, SUITE 222, ANAHEIM HILLS, CA 92807
(714) 974-5906
(714) 974-5982
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D29722
CA
Other
Enumeration date
01/29/2007
Last updated
07/08/2007
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