Martin, Dwayne Kim
Martin, Dwayne Kim is an sole proprietor health care provider with primary practice located at 1855 San Miguel Dr Suite 21, Walnut Creek CA 94596-5279. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Martin, Dwayne Kim can be contacted via phone (925) 932-1422.Contact Information
Primary practice address
1855 San Miguel Dr Suite 21
Walnut Creek CA 94596-5279
Phone: (925) 932-1422
Fax: (925) 932-2020
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | 25171 | California |
Profile Details
| NPI number | 1558446773 |
|---|---|
| LBN Legal business name | Martin, Dwayne Kim |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 26th, 2006 |
| Last updated | May 2nd, 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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