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1112 W 6th St Ste 105 Corona CA 92882-3137 | |
| (951) 200-5553 | |
| (951) 200-5501 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 1112 W 6th St Ste 105, Corona, California |
| Authorized Official Name and Position | Jihee Chun (OWNER) |
| Authorized Official Contact | 9099844444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1112 W 6th St Ste 105 Corona CA 92882-3137 Ph: (951) 200-5553 | 1112 W 6th St Ste 105 Corona CA 92882-3137 Ph: (951) 200-5553 |
| NPI Number | 1447715743 |
|---|---|
| Provider Enumeration Date | 01/31/2019 |
| Last Update Date | 05/17/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447715743 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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