| Jaesung Kim Dmd Inc | |
|
1520 N El Camino Real Ste 5 San Clemente CA 92672-5957 | |
| (213) 616-8119 | |
| Not Available |
| Full Name | Jaesung Kim Dmd Inc |
|---|---|
| Speciality | Dentist |
| Location | 1520 N El Camino Real Ste 5, San Clemente, California |
| Authorized Official Name and Position | Jaesung Kim (PRESIDENT) |
| Authorized Official Contact | 2136168119 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jaesung Kim Dmd Inc 3534 Hastings Dr Carlsbad CA 92010-7040 Ph: (213) 616-8119 | Jaesung Kim Dmd Inc 1520 N El Camino Real Ste 5 San Clemente CA 92672-5957 Ph: (213) 616-8119 |
| NPI Number | 1609499979 |
|---|---|
| Provider Enumeration Date | 05/21/2020 |
| Last Update Date | 05/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609499979 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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