| Kinberly Antrim Dds Dental Corporation | |
|
7880 Wren Ave Suite A-113 Gilroy CA 95020-4943 | |
| (408) 375-2155 | |
| Not Available |
| Full Name | Kinberly Antrim Dds Dental Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 7880 Wren Ave, Gilroy, California |
| Authorized Official Name and Position | Kinberly Antrim (PRESIDENT) |
| Authorized Official Contact | 4083752155 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kinberly Antrim Dds Dental Corporation 7880 Wren Ave Suite A-113 Gilroy CA 95020-4943 Ph: (408) 375-2155 | Kinberly Antrim Dds Dental Corporation 7880 Wren Ave Suite A-113 Gilroy CA 95020-4943 Ph: (408) 375-2155 |
| NPI Number | 1558712398 |
|---|---|
| Provider Enumeration Date | 06/23/2016 |
| Last Update Date | 06/23/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558712398 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 59694 (California) | Primary |
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