| Jae Eun Kim, Dmd Dentistry Inc | |
|
8819 Whittier Blvd Ste 102-103 Pico Rivera CA 90660-2672 | |
| (562) 699-1000 | |
| (562) 699-1099 |
| Full Name | Jae Eun Kim, Dmd Dentistry Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 8819 Whittier Blvd Ste 102-103, Pico Rivera, California |
| Authorized Official Name and Position | Jae Eun Kim (OWNER DENTIST) |
| Authorized Official Contact | 5626991000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jae Eun Kim, Dmd Dentistry Inc 8819 Whittier Blvd Ste 102-103 Pico Rivera CA 90660-2672 Ph: (562) 699-1000 | Jae Eun Kim, Dmd Dentistry Inc 8819 Whittier Blvd Ste 102-103 Pico Rivera CA 90660-2672 Ph: (562) 699-1000 |
| NPI Number | 1043927015 |
|---|---|
| Provider Enumeration Date | 10/31/2022 |
| Last Update Date | 11/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043927015 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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