Kim, Clarissa Da-Yea
Kim, Clarissa Da-Yea is an individual health care provider with primary practice located at 18Th Medical Group Unit 5142, Apo AP 96368-5142. She recently has 2 registered licenses in different health care specialties including Dental Providers / Orthodontics and Dentofacial Orthopedics, Dental Providers / Dentist. Dental Providers / Orthodontics and Dentofacial Orthopedics is her primary health care specialty. Kim, Clarissa Da-Yea can be contacted via phone (315) 630-4780.Contact Information
Primary practice address
18Th Medical Group Unit 5142
Apo AP 96368-5142
Phone: (315) 630-4780
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | DS040013 | Pennsylvania |
Dental Providers / Dentist | 122300000X | DS040013 | Pennsylvania |
Profile Details
NPI number | 1407271513 |
---|---|
LBN Legal business name | Kim, Clarissa Da-Yea |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 26th, 2014 |
Last updated | Aug 7th, 2023 - about 2 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.
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18Th Medical Group Unit 5142, Apo AP 96368-5142