| Jason Kim Dental Corporation | |
|
3300 W Rosecrans Ave Ste 105 Hawthorne CA 90250-8218 | |
| (310) 679-3300 | |
| Not Available |
| Full Name | Jason Kim Dental Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3300 W Rosecrans Ave Ste 105, Hawthorne, California |
| Authorized Official Name and Position | Jason Kim (PRESIDENT) |
| Authorized Official Contact | 7148535086 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Kim Dental Corporation 3300 W Rosecrans Ave Ste 105 Hawthorne CA 90250-8218 Ph: (310) 679-3300 | Jason Kim Dental Corporation 3300 W Rosecrans Ave Ste 105 Hawthorne CA 90250-8218 Ph: (310) 679-3300 |
| NPI Number | 1346857943 |
|---|---|
| Provider Enumeration Date | 09/28/2020 |
| Last Update Date | 09/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346857943 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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