| James Kim Dds A Professional Dental Corporation | |
|
42002 Fox Farm Rd. #101 Big Bear Lake CA 92315 | |
| (909) 866-0606 | |
| (909) 866-5546 |
| Full Name | James Kim Dds A Professional Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 42002 Fox Farm Rd., Big Bear Lake, California |
| Authorized Official Name and Position | James H Kim (OWNER) |
| Authorized Official Contact | 9098660606 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James Kim Dds A Professional Dental Corporation Po Box 6951 42002 Fox Farm Rd. #101 Big Bear Lake CA 92315-6951 Ph: (909) 866-0606 | James Kim Dds A Professional Dental Corporation 42002 Fox Farm Rd. #101 Big Bear Lake CA 92315 Ph: (909) 866-0606 |
| NPI Number | 1508038308 |
|---|---|
| Provider Enumeration Date | 04/01/2008 |
| Last Update Date | 04/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508038308 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 47917 (California) | Primary |
Bear Valley Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 41628 Big Bear Blvd, Big Bear Lake, CA 92315 Phone: 909-866-2646 Fax: 909-866-1796 | |
Lakeside Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 42002 Fox Farm Road #101, Big Bear Lake, CA 92315 Phone: 909-866-0606 Fax: 909-866-5546 | |
Big Bear Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 42169-c Big Bear Blvd., Big Bear Lake, CA 92315 Phone: 909-866-1030 Fax: 909-866-9990 |