Individual provider · Type 1 NPI
Kim Jon Dipasquale, DDS MS
Oral and Maxillofacial Surgery (Dentist) · Anaheim Hills, CA
NPI number
1104962224
Active
Practice location
500 So Anaheim Hills Road, Suite 222
Anaheim Hills, CA 92807
Fax (714) 974-5982
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | D29722 (CA) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Other oral and maxillofacial surgery (dentist) providers in Anaheim Hills
About NPI 1104962224
Kim Jon Dipasquale, DDS MS's National Provider Identifier is 1104962224, issued on Jan 29, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Anaheim Hills, CA. The record was last updated on Jul 8, 2007.