Organization
ANSONY KIM, DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANSONY JIN KIM DDS (OWNER)
(510) 334-3622
Entity
Organization
Contact information
Practice address
2591 MAIN ST, OAKLEY, CA 94561-1854
(925) 690-5437
(925) 690-5438
Mailing address
PO BOX 4604, WALNUT CREEK, CA 94596-0604
(510) 334-3622
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
09/25/2019
Last updated
05/19/2020
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