Organization
MATTHEW KIM DENTAL CORP
Active
Other names
Walnut Plaza Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW KIM DDS (CEO)
(209) 642-9340
Entity
Organization
Contact information
Practice address
903 W CENTER ST STE 5, MANTECA, CA 95337-7315
(209) 824-0214
(209) 824-0812
Mailing address
903 W CENTER ST STE 5, MANTECA, CA 95337-7315
(209) 824-0214
(209) 824-0812
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/13/2021
Last updated
08/18/2022
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