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Katie Kim, DDS
Pediatric Dentist in Lafayette, California
NPI 1467918508

Katie Kim is a Pediatric Dentist based in San Jose, CA and is specialized in Pediatric Dentistry. Katie Kim practices in Lafayette, CA and has the professional credentials of DDS. The NPI Number for Katie Kim is 1467918508 and holds a License No. (California).

The current practice location address for Katie Kim is 3501 School St, Lafayette, CA and can be reached out via phone at 925-385-8051.

Location: 3501 School St, Lafayette, CA, 95135-1543
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467918508
Provider Name
Katie Kim
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
3501 School St, Lafayette, CA, 95135-1543
Phone Number
925-385-8051
Fax Number
Provider Enumeration Date
02/13/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3501 School St
City
Lafayette
State
California
Zip
94549-4505
Phone Number
925-385-8051
Fax Number
person
Provider Business Mailing Address Details
Address
3501 School St
City
Lafayette
State
California
Zip
94549-4505
Phone Number
925-385-8051
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
106104 (California)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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