Organization
B C KIM DDS INC
Active
Other names
HESPERIA CENTRAL DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN C KIM D.D.S. (CEO)
(760) 244-4844
Entity
Organization
Contact information
Practice address
16922 MAIN ST, SUITE # F, HESPERIA, CA 92345-7920
(760) 244-4844
(760) 244-5002
Mailing address
16922 MAIN ST, SUITE # F, HESPERIA, CA 92345-7920
(760) 244-4844
(760) 244-5002
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
36327
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G9358301
MEDI-CAL DENTAL PROGRAM
CA
Enumeration date
11/07/2006
Last updated
08/22/2020
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