Kim, Teri Ly

Kim, Teri Ly is an individual health care provider with primary practice located at 747 52Nd St. , Oakland CA 94609. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Kim, Teri Ly can be contacted via phone (510) 964-0168.

Contact Information

Primary practice address
747 52Nd St. Oakland CA 94609
Phone: (510) 964-0168
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 13802 Maryland
Dental Providers / Pediatric Dentistry 1223P0221X 55811 California

Profile Details

NPI number 1386721736
LBN Legal business name Kim, Teri Ly
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Feb 8th, 2012 - about 12 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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