Organization
TRUSMILE DENTAL HYGIENE PRACTICE OF KIM, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA ANTONETTE KIM RDHAP (PRESIDENT)
(951) 922-4975
Entity
Organization
Contact information
Practice address
66 S SAN GORGONIO AVE STE 5, BANNING, CA 92220-6020
(951) 922-4975
(951) 922-4976
Mailing address
66 S SAN GORGONIO AVE STE 5, BANNING, CA 92220-6020
(951) 553-8235
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
11/19/2020
Last updated
03/04/2021
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