Kimberly Bacon

NPI 1487891065 · on the registry since 2009

Practice

Address: 8381 La Palma Ave
Suite B & C
Buena Park, CA 90620
Phone: (714) 228-9990
Fax: (714) 228-9741
Organisation at this address: Manavi Dental Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 13

Registry record

Primary taxonomy: Dental Assistant
126800000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2009-01-19

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