Kim, Peter M

Kim, Peter M is an individual health care provider with primary practice located at 2415 G St , Bakersfield CA 93301-2809. He recently has 2 registered licenses in different health care specialties including Dental Providers / Pediatric Dentistry, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Kim, Peter M can be contacted via phone (661) 631-1113.

Contact Information

Primary practice address
2415 G St Bakersfield CA 93301-2809
Phone: (661) 631-1113
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X DD2835 New Mexico
Dental Providers / Pediatric Dentistry 1223P0221X D6719 Arizona
Dental Providers / General Practice 1223G0001X 56021 California

Profile Details

NPI number 1972725844
LBN Legal business name Kim, Peter M
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2007
Last updated Oct 11th, 2020 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1972725844 NPPES
New Mexico MEDICAID 73203050
New Mexico MEDICAID 985525
New Mexico Other AZ0158860

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