| Matthew Kim Dds Inc | |
|
1101 W Tokay St Ste 2 Lodi CA 95240-3842 | |
| (209) 334-0760 | |
| Not Available |
| Full Name | Matthew Kim Dds Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1101 W Tokay St Ste 2, Lodi, California |
| Authorized Official Name and Position | Matthew Kim (CEO) |
| Authorized Official Contact | 2093340760 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Kim Dds Inc 1101 W Tokay St Ste 2 Lodi CA 95240-3842 Ph: (209) 334-0760 | Matthew Kim Dds Inc 1101 W Tokay St Ste 2 Lodi CA 95240-3842 Ph: (209) 334-0760 |
| NPI Number | 1740062736 |
|---|---|
| Provider Enumeration Date | 10/16/2023 |
| Last Update Date | 10/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740062736 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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