| Jesse Kim,dds.inc | |
|
1774 S Broadway Santa Maria CA 93454-7604 | |
| (805) 928-5400 | |
| Not Available |
| Full Name | Jesse Kim,dds.inc |
|---|---|
| Speciality | Dentist |
| Location | 1774 S Broadway, Santa Maria, California |
| Authorized Official Name and Position | Jesse Kim (CEO) |
| Authorized Official Contact | 8059285400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jesse Kim,dds.inc 1774 S Broadway Santa Maria CA 93454-7604 Ph: () - | Jesse Kim,dds.inc 1774 S Broadway Santa Maria CA 93454-7604 Ph: (805) 928-5400 |
| NPI Number | 1437553682 |
|---|---|
| Provider Enumeration Date | 10/17/2014 |
| Last Update Date | 10/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437553682 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D49346 (California) | Primary |
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