Spencer Kim
NPI #1184155400 in Manteca, California
Provider Information
- NPI Number
- 1184155400
- Entity Type
- Individual
- Name
- Spencer Kim
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Mar 27, 2017
- Last Updated
- Jul 16, 2025
Practice Location
- Address
- 2288 DANIELS ST
- City
- Manteca
- State
- California
- ZIP Code
- 95337-6706
- Phone
- (209) 456-5610
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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