| Bom Jeon Dental Corp | |
|
1401 S Brookhurst Rd Ste 104 Fullerton CA 92833-4492 | |
| (714) 879-2828 | |
| Not Available |
| Full Name | Bom Jeon Dental Corp |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1401 S Brookhurst Rd Ste 104, Fullerton, California |
| Authorized Official Name and Position | Bom Jeon (PRESIDENT) |
| Authorized Official Contact | 7144859999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bom Jeon Dental Corp 1401 S Brookhurst Rd Ste 104 Fullerton CA 92833-4492 Ph: () - | Bom Jeon Dental Corp 1401 S Brookhurst Rd Ste 104 Fullerton CA 92833-4492 Ph: (714) 879-2828 |
| NPI Number | 1013590025 |
|---|---|
| Provider Enumeration Date | 04/29/2021 |
| Last Update Date | 04/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013590025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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