Kim, Scarlet

Kim, Scarlet is an individual health care provider with primary practice located at 24481 Alicia Pkwy # 3 , Mission Viejo CA 92691-4534. She recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is her primary health care specialty. Kim, Scarlet can be contacted via phone (949) 586-9800.

Contact Information

Primary practice address
24481 Alicia Pkwy # 3 Mission Viejo CA 92691-4534
Phone: (949) 586-9800
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 00000000 Washington
Dental Providers / General Practice 1223G0001X D10635 Oregon
Dental Providers / Pediatric Dentistry 1223P0221X 104759 California

Profile Details

NPI number 1033562939
LBN Legal business name Kim, Scarlet
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2016
Last updated Nov 24th, 2020 - about 6 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 1033562939 NPPES
Washington MEDICAID PENDING

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