Kim, Stephanie

Kim, Stephanie is an individual health care provider with primary practice located at 4690 Natomas Blvd Ste 100 , Sacramento CA 95835-2230. She recently has 3 registered licenses in different health care specialties including Dental Providers / General Practice, Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is her primary health care specialty. Kim, Stephanie can be contacted via phone (916) 515-4500.

Contact Information

Primary practice address
4690 Natomas Blvd Ste 100 Sacramento CA 95835-2230
Phone: (916) 515-4500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 64762 California
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Pediatric Dentistry 1223P0221X 64762 California

Profile Details

NPI number 1942615364
LBN Legal business name Kim, Stephanie
Credentials D.M.D., M.S.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2014
Last updated Jul 12th, 2019 - about 7 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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