| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 210 W C St, Ontario, California |
| Authorized Official Name and Position | Jihee Hee Jung Chun (OWNER) |
| Authorized Official Contact | 9099844444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
210 W C St Ontario CA 91762-3413 Ph: (909) 984-4444 | 210 W C St Ontario CA 91762-3413 Ph: (909) 984-4444 |
| NPI Number | 1447662341 |
|---|---|
| Provider Enumeration Date | 05/27/2014 |
| Last Update Date | 05/27/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447662341 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 52047 (California) | Primary |
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