Kim, Maria Antonette De Lara

Kim, Maria Antonette De Lara is an individual health care provider with primary practice located at 66 S San Gorgonio Ave Ste 5 , Banning CA 92220-6020. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Kim, Maria Antonette De Lara can be contacted via phone (951) 553-8235.

Contact Information

Primary practice address
66 S San Gorgonio Ave Ste 5 Banning CA 92220-6020
Phone: (951) 553-8235
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 783 California

Profile Details

NPI number 1417558180
LBN Legal business name Kim, Maria Antonette De Lara
Credentials RDH, RDHAP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2020
Last updated Mar 4th, 2021 - about 4 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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