| Ansony Kim, Dds Inc | |
| 
					2591 Main St Oakley CA 94561-1854  | |
| (925) 690-5437 | |
| (925) 690-5438 | 
| Full Name | Ansony Kim, Dds Inc | 
|---|---|
| Speciality | Dentist - Pediatric Dentistry | 
| Location | 2591 Main St, Oakley, California | 
| Authorized Official Name and Position | Ansony Jin Kim (OWNER) | 
| Authorized Official Contact | 5103343622 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ansony Kim, Dds Inc Po Box 4604 Walnut Creek CA 94596-0604 Ph: (510) 334-3622  | Ansony Kim, Dds Inc 2591 Main St Oakley CA 94561-1854 Ph: (925) 690-5437  | 
| NPI Number | 1629629134 | 
|---|---|
| Provider Enumeration Date | 09/25/2019 | 
| Last Update Date | 05/19/2020 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1629629134 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary | 
Benjamin Hardyk, Dds, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2170 Main St Ste E, Oakley, CA 94561 Phone: 323-401-6663  | |
Trieu P. Ton, Dds, Prof. Corp. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2199 Main St, Oakley, CA 94561 Phone: 925-600-8020 Fax: 925-452-6323  |