| Ansony Kim, Dds Inc | |
|
2591 Main St Oakley CA 94561-1854 | |
| (925) 690-5437 | |
| (925) 690-5438 |
| Full Name | Ansony Kim, Dds Inc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2591 Main St, Oakley, California |
| Authorized Official Name and Position | Ansony Jin Kim (OWNER) |
| Authorized Official Contact | 5103343622 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ansony Kim, Dds Inc Po Box 4604 Walnut Creek CA 94596-0604 Ph: (510) 334-3622 | Ansony Kim, Dds Inc 2591 Main St Oakley CA 94561-1854 Ph: (925) 690-5437 |
| NPI Number | 1629629134 |
|---|---|
| Provider Enumeration Date | 09/25/2019 |
| Last Update Date | 05/19/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629629134 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
Oakley Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2170 Main St Ste E, Oakley, CA 94561 Phone: 323-401-6663 | |
Autumn Lake Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2199 Main St, Oakley, CA 94561 Phone: 925-600-8020 Fax: 925-452-6323 |