Individual
DR. STEPHANIE KIM-ALBADAWI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D., M.S.D.
Contact information
Practice address
13760 LAKERIDGE DR, FISHERS, IN 46037-7608
(317) 588-2575
Mailing address
252 MERCEDES CT, DAVIS, CA 95616-0280
(661) 203-1353
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
64762
CA
1223P0221X
Pediatric Dentistry
Primary
12014639A
IN
1223P0221X
Pediatric Dentistry
64762
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/24/2014
Last updated
01/22/2025
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