Individual
MINGYEONG KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20311 STEVENS CREEK BLVD STE 1B, CUPERTINO, CA 95014-2230
(406) 446-1111
Mailing address
20311 STEVENS CREEK BLVD STE 1B, CUPERTINO, CA 95014-2230
(406) 446-1111
Taxonomy
Speciality
Code
Description
License number
State
126900000X
Dental Laboratory Technician
Primary
351480
CA
Other
Enumeration date
10/09/2019
Last updated
10/09/2019
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