Kim, Grace

Kim, Grace is an individual health care provider with primary practice located at 29950 Haun Rd Ste 302 , Menifee CA 92586-6527. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Kim, Grace can be contacted via phone (951) 679-1667.

Contact Information

Primary practice address
29950 Haun Rd Ste 302 Menifee CA 92586-6527
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X DDS107335 California

Profile Details

NPI number 1710448766
LBN Legal business name Kim, Grace
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2019
Last updated Jun 23rd, 2022 - 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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