| Chung Kim Dds, Inc | |
|
180 E 4th St Suite A Perris CA 92570-2125 | |
| (951) 657-3102 | |
| (951) 657-7783 |
| Full Name | Chung Kim Dds, Inc |
|---|---|
| Speciality | Dentist |
| Location | 180 E 4th St, Perris, California |
| Authorized Official Name and Position | Chung Kim (PRESIDENT) |
| Authorized Official Contact | 9516573102 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chung Kim Dds, Inc 180 E 4th St Suite A Perris CA 92570-2125 Ph: (951) 657-3102 | Chung Kim Dds, Inc 180 E 4th St Suite A Perris CA 92570-2125 Ph: (951) 657-3102 |
| NPI Number | 1376750307 |
|---|---|
| Provider Enumeration Date | 05/17/2007 |
| Last Update Date | 04/17/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376750307 | NPI | - | NPPES |
| 23935-01 | Other | CA | MEDICAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 23935 (California) | Primary |
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