Kelly Kim Dental Corporation | |
25100 Hancock Ave Ste 102 Murrieta CA 92562-5973 | |
(951) 543-9745 | |
(951) 543-4178 |
Full Name | Kelly Kim Dental Corporation |
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Speciality | Dentist |
Location | 25100 Hancock Ave Ste 102, Murrieta, California |
Authorized Official Name and Position | Kelly Kim (OWNER) |
Authorized Official Contact | 9515439745 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kelly Kim Dental Corporation Po Box 920050 Dallas TX 75392-0050 Ph: (951) 543-9745 | Kelly Kim Dental Corporation 25100 Hancock Ave Ste 102 Murrieta CA 92562-5973 Ph: (951) 543-9745 |
NPI Number | 1063290161 |
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Provider Enumeration Date | 09/19/2023 |
Last Update Date | 09/19/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063290161 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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