| NPI | 1265850424 |
|---|---|
| Doing Business As | KIMBER PARK FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | SUWEN SHUEN President 510-661-0788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: CA 44777) |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2014-04-03 |