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NPI Code Detail

MEDICARE: DR. DAVID ROBERT KIME III DDS

MEDICARE:  DR. DAVID ROBERT KIME III 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
1122300000XDentist029616CA

General Provider Information

NPI Number : 1336141027
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID ROBERT KIME III DDS
Provider Business Mailing Address
First Line : 513 RUSS ST
Second Line :
City : EUREKA
State : CA
Zip : 95501-4450
Country : US
Telephone Number : 707-443-3815
Fax Number : 707-443-0134
Provider Business Practice Location Address
First Line : 513 RUSS ST
Second Line :
City : EUREKA
State : CA
Zip : 95501-4450
Country : US
Telephone Number : 707-443-3815
Fax Number : 707-443-0134
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2005
Last Update Date : 07/08/2007

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Directions to “ DR. DAVID ROBERT KIME III DDS” Practice Location

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