Organization
CALVIN E. YIM, DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CALVIN YIM DDS (OWNER)
(408) 292-1240
Entity
Organization
Contact information
Practice address
80 JACKSON ST, SAN JOSE, CA 95112-5163
(408) 292-1240
(408) 292-1240
Mailing address
80 JACKSON ST, SAN JOSE, CA 95112-5163
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
31548
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B31548-01
DENTICAL
CA
Enumeration date
06/21/2012
Last updated
06/21/2012
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