Maria Antonette De Lara Kim, RDH, RDHAP
NPI #1417558180 in Banning, California
Provider Information
- NPI Number
- 1417558180
- Entity Type
- Individual
- Name
- Maria Antonette De Lara Kim, RDH, RDHAP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dental Hygienist
- Credential
- RDH, RDHAP
- Enumeration Date
- Nov 7, 2020
- Last Updated
- Mar 4, 2021
Practice Location
- Address
- 66 S SAN GORGONIO AVE STE 5
- City
- Banning
- State
- California
- ZIP Code
- 92220-6020
- Phone
- (951) 553-8235
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dental Hygienist |
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Organizations
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|---|---|
| Trusmile Dental Hygiene Practice of Kim, Inc. | AI Deep Dive |
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