| Chung Kim Dental Corporation | |
|
204 E Warner Ave Ste 104 Santa Ana CA 92707-3277 | |
| (714) 641-2939 | |
| (714) 641-2868 |
| Full Name | Chung Kim Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 204 E Warner Ave Ste 104, Santa Ana, California |
| Authorized Official Name and Position | Chung Kim (PRESIDENT) |
| Authorized Official Contact | 9498384733 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chung Kim Dental Corporation 204 E Warner Ave Ste 104 Santa Ana CA 92707-3277 Ph: (714) 641-2939 | Chung Kim Dental Corporation 204 E Warner Ave Ste 104 Santa Ana CA 92707-3277 Ph: (714) 641-2939 |
| NPI Number | 1558553511 |
|---|---|
| Provider Enumeration Date | 08/14/2007 |
| Last Update Date | 08/14/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558553511 | NPI | - | NPPES |
| G93974-01 | Other | CA | DENTI-CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 26442 (California) | Primary |
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