| Jang Kil Yi Dds Professional Dental Corporation | |
|
5914 Pacific Blvd Huntington Park CA 90255-2929 | |
| (323) 581-0100 | |
| Not Available |
| Full Name | Jang Kil Yi Dds Professional Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 5914 Pacific Blvd, Huntington Park, California |
| Authorized Official Name and Position | Jang Kil Yi (DENTIST) |
| Authorized Official Contact | 3235810100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jang Kil Yi Dds Professional Dental Corporation 5914 Pacific Blvd Huntington Park CA 90255-2929 Ph: () - | Jang Kil Yi Dds Professional Dental Corporation 5914 Pacific Blvd Huntington Park CA 90255-2929 Ph: (323) 581-0100 |
| NPI Number | 1588084040 |
|---|---|
| Provider Enumeration Date | 04/23/2014 |
| Last Update Date | 04/23/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588084040 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 28641 (California) | Primary |
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