Individual
DIANA MARIA KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
827 W VALLEY BLVD, COLTON, CA 92324-2001
(909) 825-2175
Mailing address
7307 BELPINE PL APT 18, RANCHO CUCAMONGA, CA 91730-6772
(909) 660-2303
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DDS103466
CA
Other
Enumeration date
02/04/2019
Last updated
02/04/2019
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