| Larry Lim D.d.s Inc. | |
|
140 Robles Way Vallejo CA 94591-8039 | |
| (707) 645-8400 | |
| (707) 645-8459 |
| Full Name | Larry Lim D.d.s Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 140 Robles Way, Vallejo, California |
| Authorized Official Name and Position | Jaymie Santiago (OFFICE MANAGER) |
| Authorized Official Contact | 7076458400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Larry Lim D.d.s Inc. 140 Robles Way Vallejo CA 94591-8039 Ph: (707) 645-8400 | Larry Lim D.d.s Inc. 140 Robles Way Vallejo CA 94591-8039 Ph: (707) 645-8400 |
| NPI Number | 1417164104 |
|---|---|
| Provider Enumeration Date | 05/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417164104 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 43362 (California) | Primary |
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