Bacon, Kimberly Diane

Bacon, Kimberly Diane is an individual health care provider with primary practice located at 8381 La Palma Ave Suite B & C, Buena Park CA 90620-3271. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Bacon, Kimberly Diane can be contacted via phone (714) 228-9990.

Contact Information

Primary practice address
8381 La Palma Ave Suite B & C Buena Park CA 90620-3271
Phone: (714) 228-9990
Fax: (714) 228-9741
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X 54253991003342 California

Profile Details

NPI number 1487891065
LBN Legal business name Bacon, Kimberly Diane
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2009
Last updated Jan 19th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers