MINGYEONG KIM
NPI 1528600640
Dental Laboratory Technician in Cupertino, CA
- Individual
- Female
- Dental Laboratory Technician
About MINGYEONG KIM
This page provides the complete NPI Profile along with additional information for Mingyeong Kim, a provider established in Cupertino, California with a medical specialization in Dental Laboratory Technician. The healthcare provider is registered in the NPI registry with number 1528600640 assigned on October 2019. The practitioner's primary taxonomy code is 126900000X with license number 351480 (CA). The provider is registered as an individual and her NPI record was last updated 7 years ago.
- NPI
- 1528600640 Verify this NPI
- Provider Name
- MINGYEONG KIM
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 20311 STEVENS CREEK BLVD STE 1B CUPERTINO, CA 95014
- Location Phone
- (406) 446-1111
- Mailing Address
- 20311 STEVENS CREEK BLVD STE 1B CUPERTINO, CA 95014
- Mailing Phone
- (406) 446-1111
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 10-09-2019
- Last Update Date
- 10-09-2019
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dental Laboratory Technician
- Taxonomy Code
- 126900000X
- Type
- Dental Providers
- License No.
- 351480
- License State
- CA
- Taxonomy Description
- An individual who has the skill and knowledge in the fabrication of dental appliances, prostheses and devices in accordance with a dentist's laboratory work authorization. To avoid misleading the public, no occupational title other than dental laboratory technician or certified dental technician (when appropriate) should be used to describe this auxiliary.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1528600640, enumerated as an "individual" on October 09, 2019.
The provider is located at 20311 STEVENS CREEK BLVD STE 1B CUPERTINO, CA 95014 and the phone number is (406) 446-1111.
Dental Laboratory Technician with taxonomy code 126900000X.
