| Apple Valley Dental | |
|
21580 Bear Valley Rd Ste B2-2 Apple Valley CA 92308-7200 | |
| (760) 247-6007 | |
| Not Available |
| Full Name | Apple Valley Dental |
|---|---|
| Speciality | Dentist |
| Location | 21580 Bear Valley Rd Ste B2-2, Apple Valley, California |
| Authorized Official Name and Position | Samuel Kim (OWNER) |
| Authorized Official Contact | 7602476007 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Apple Valley Dental 21580 Bear Valley Rd Ste B2-2 Apple Valley CA 92308-7200 Ph: (760) 247-6007 | Apple Valley Dental 21580 Bear Valley Rd Ste B2-2 Apple Valley CA 92308-7200 Ph: (760) 247-6007 |
| NPI Number | 1073708202 |
|---|---|
| Provider Enumeration Date | 09/11/2007 |
| Last Update Date | 09/11/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073708202 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 51348 (California) | Primary |
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