| Amy Kim Dmd Inc. | |
| 
					14252 Schleisman Rd Ste 102 Eastvale CA 92880-4026  | |
| (951) 507-1073 | |
| (951) 507-1332 | 
| Full Name | Amy Kim Dmd Inc. | 
|---|---|
| Speciality | Dentist - Pediatric Dentistry | 
| Location | 14252 Schleisman Rd Ste 102, Eastvale, California | 
| Authorized Official Name and Position | Amy Kim (OWNER DENTIST) | 
| Authorized Official Contact | 9092706602 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Amy Kim Dmd Inc. 14252 Schleisman Rd Ste 102 Eastvale CA 92880-4026 Ph: (951) 507-1073  | Amy Kim Dmd Inc. 14252 Schleisman Rd Ste 102 Eastvale CA 92880-4026 Ph: (951) 507-1073  | 
| NPI Number | 1144026733 | 
|---|---|
| Provider Enumeration Date | 02/24/2025 | 
| Last Update Date | 02/24/2025 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1144026733 | NPI | - | NPPES | 
| 110739 | Other | CA | DENTAL LICENSE | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary | 
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary | 
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