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MARIA ANTONETTE DE LARA KIM RDH, RDHAP
NPI 1417558180
Dental Hygienist in Banning, CA

Active since November 07, 2020
66 S SAN GORGONIO AVE STE 5, BANNING, CA 92220(951) 553-8235 Get Directions Write a Review

NPPES record last updated: March 4, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 4, 2021, Jan 1, 2021, Dec 13, 2020 and 1 more (4 updates tracked since 2020).

About Maria Antonette De Lara Kim Rdh, Rdhap NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIA ANTONETTE DE LARA KIM RDH, RDHAP (NPI 1417558180) is an individual dental hygienist in Banning, California, licensed in California (783) and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1417558180
Entity TypeIndividualFemale
Primary Taxonomy124Q00000X
Provider Legal NameMARIA ANTONETTE DE LARA KIMCredential: RDH, RDHAP
Location Address66 S SAN GORGONIO AVE STE 5Banning, CA 92220-6020
Mailing Address66 S San Gorgonio Ave Ste 5Banning, CA 92220-6020 · (951) 922-4975 · Fax (951) 922-4976
Phone(951) 553-8235
Sole ProprietorNo
Enumeration DateNovember 7, 2020
Last NPPES UpdateMarch 4, 20214 updates tracked since enumeration
NPPES CertifiedMarch 4, 2021
✔ NPI 1417558180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental HygienistDental Providers
Taxonomy Code124Q00000X
License✔ Licensed in CA · 783
Definition
An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
66 S SAN GORGONIO AVE STE 5, Banning, CA 92220
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TRUSMILE DENTAL HYGIENE PRACTICE OF KIM, INC.
Dental Hygienist
66 S SAN GORGONIO AVE STE 5
BANNING, CA 92220
Riverside County (951) 922-4975

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maria Antonette Kim's NPI number?

The NPI number for Maria Antonette Kim is 1417558180. It was assigned to this individual provider in the NPPES registry on November 7, 2020.

Where is Maria Antonette Kim located?

Maria Antonette Kim practices at 66 S San Gorgonio Ave Ste 5, Banning, CA 92220. The listed phone number is (951) 553-8235.

What is Maria Antonette Kim's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

When was this NPI record last updated?

The NPPES record for Maria Antonette Kim was last updated on March 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.