Provider Demographics
NPI:1023441342
Name:KNOPF, KIMBERLY JOROLAN (DDS)
Entity type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:JOROLAN
Last Name:KNOPF
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9675 BRIGHTON WAY
Mailing Address - Street 2:PENTHOUSE A
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-5100
Mailing Address - Country:US
Mailing Address - Phone:310-275-5325
Mailing Address - Fax:310-275-9155
Practice Address - Street 1:9675 BRIGHTON WAY
Practice Address - Street 2:PENTHOUSE A
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-5100
Practice Address - Country:US
Practice Address - Phone:310-275-5325
Practice Address - Fax:310-275-9155
Is Sole Proprietor?:No
Enumeration Date:2013-08-11
Last Update Date:2013-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADDS49913122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist