Kim and DO-Yabut Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KIM AND DO-YABUT DENTAL CORPORATION

Practice address

24088 Clinton Keith Rd Ste 100
Wildomar, CA 92595-8086

Phone

(951) 225-4068

NPI assigned

May 12, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Diana DO-Yabut

Title

Owner

Phone

(714) 845-8500

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1620777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620777600000",
    "number": "1366026668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 RED HILL AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24088 CLINTON KEITH RD STE 100",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "925958086",
            "telephone_number": "951-225-4068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM AND DO-YABUT DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-12",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A",
        "authorized_official_last_name": "DO-YABUT",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-845-8500"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aidan Keith
• Melissa Kelly
• Josephine Kennedy
• Kensington Diagnostics LLC
• Anoushah S Khurram
• John C Kim, MD
• Steven S Kim, M.D.
• Phillisha Kimbles
• Kimjem Management Inc
• Kinder Care Home Health Inc

• General Practice Dentistry in Wildomar, CA
• Providers in Wildomar, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.