| 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 |
Tejas Modi Dds Inc Dental Clinic Medicare: Medicare Enrolled Practice Location: 75 W Nuevo Rd Ste A&b, Perris, CA 92571 Phone: 951-657-1203 | |
Soonhyuk Chang Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 126 Avocado Ave Ste 202, Perris, CA 92571 Phone: 951-940-0202 Fax: 951-943-4844 | |