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NPI Code Detail

MEDICARE: SHARON KIM DDS

MEDICARE:   SHARON  KIM  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry46397CA

General Provider Information

NPI Number : 1467493122
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHARON KIM DDS
Provider Business Mailing Address
First Line : 4000 CALLE TECATE
Second Line : STE 206
City : CAMARILLO
State : CA
Zip : 93012
Country : US
Telephone Number : 805-379-7989
Fax Number :
Provider Business Practice Location Address
First Line : 4000 CALLE TECATE
Second Line : STE 206
City : CAMARILLO
State : CA
Zip : 93012
Country : US
Telephone Number : 805-379-7989
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2006
Last Update Date : 03/16/2026

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Directions to “ SHARON KIM DDS” Practice Location

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