Organization
KIM DENTAL CORPORATION
Active
Other names
Family Dental and Implant Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AUDREY KIM DDS (PRESIDENT)
(716) 374-3273
Entity
Organization
Contact information
Practice address
930 SUNNYSLOPE RD STE B3, HOLLISTER, CA 95023-5616
(831) 637-4627
Mailing address
17775 CALLE GRANADA, MORGAN HILL, CA 95037-2992
(716) 374-3273
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/09/2021
Last updated
08/09/2021
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