Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIMBERLY DIANE BACON
ActiveKIMBERLY DIANE BACON is a Dental Assistant healthcare provider located in BUENA PARK, California. NPI 1487891065 is currently active in the NPPES registry. Verify at CMS.
Dental Assistant · BUENA PARK, CA
Registration Details
- NPI Number
- 1487891065
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 19, 2009 (17.594342736533 yrs)
- Last Updated
- Jan 19, 2009
- License
-
54253991003342 (CA)
Practice Information
- Address
-
8381 LA PALMA AVESUITE B & CBUENA PARK, CA, 906203271Browse CA providers · Browse ZIP 90620
- Phone
- 7142289990
- Fax
- 7142289741
- Primary Specialty
-
Dental Assistant
126800000X
Other Dental Assistant Providers in BUENA PARK, CA
| Name | Credential | NPI |
|---|---|---|
| EDUARDO ULISES VIZCARRA | — | 1811134497 |
| JOSEPHINE MORALES | — | 1740427327 |
| BALTAZAR MENDOZA | R.D.A | 1942531447 |
| EDITH LORENA URIBE | — | 1861798050 |
| MS. DEBRA HERNANDEZ | RDA | 1467798074 |
| GINA KARIN JAUREGUI | — | 1972916252 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.