SearchCalifornia124Q00000X

Maria Antonette Kim, RDH, RDHAP

NPI 1417558180 · on the registry since 2020

Practice

Address
66 S San Gorgonio Ave Ste 5
Banning, CA 92220
Phone
(951) 553-8235
Organisation at this address
Faith In Action Of San Gorgonio Pass
Trusmile Dental Hygiene Practice Of Kim, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
124Q00000X
124Q00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-03-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California