Individual
KIMBERLIN ALYSSA LOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2258 FOOTHILL BLVD STE 800, LA CANADA, CA 91011-1474
(818) 236-3636
Mailing address
2258 FOOTHILL BLVD STE 800, LA CANADA, CA 91011-1474
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
104072
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
104072
CA
Other
Enumeration date
05/07/2022
Last updated
05/10/2022
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