| Dr. Douglas Kim, Inc | |
|
4183-h Chino Hills Parkway Chino Hills CA 91709-3781 | |
| (909) 393-5300 | |
| Not Available |
| Full Name | Dr. Douglas Kim, Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4183-h Chino Hills Parkway, Chino Hills, California |
| Authorized Official Name and Position | Douglas Kim (OWNER) |
| Authorized Official Contact | 7145275656 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Douglas Kim, Inc 4183-h Chino Hills Parkway Chino Hills CA 91709-3781 Ph: (909) 393-5300 | Dr. Douglas Kim, Inc 4183-h Chino Hills Parkway Chino Hills CA 91709-3781 Ph: (909) 393-5300 |
| NPI Number | 1760960793 |
|---|---|
| Provider Enumeration Date | 08/01/2018 |
| Last Update Date | 10/19/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760960793 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 63129 (California) | Primary |
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