| Jd Kim Md, Dds, Inc | |
|
4000 Tyler St Ste A Riverside CA 92503-3458 | |
| (951) 687-4460 | |
| (951) 687-7448 |
| Full Name | Jd Kim Md, Dds, Inc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 4000 Tyler St Ste A, Riverside, California |
| Authorized Official Name and Position | Jeong Doo Kim (PRESIDENT) |
| Authorized Official Contact | 3107135159 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jd Kim Md, Dds, Inc 20760 Paseo De La Rambla Yorba Linda CA 92887 Ph: (310) 713-5159 | Jd Kim Md, Dds, Inc 4000 Tyler St Ste A Riverside CA 92503-3458 Ph: (951) 687-4460 |
| NPI Number | 1598044356 |
|---|---|
| Provider Enumeration Date | 08/11/2011 |
| Last Update Date | 08/11/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598044356 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 50622 (California) | Primary |
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