Individual
ELIANA YAENA KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20300 W VALLEY BLVD STE A, TEHACHAPI, CA 93561-8609
(661) 469-0020
Mailing address
4000 COBBLESTONE LN, CARMICHAEL, CA 95608-2600
(916) 508-9953
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
112339
CA
Other
Enumeration date
09/05/2025
Last updated
09/05/2025
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