| Jin Anaheim Park Dds, Inc | |
|
3006 W Lincoln Ave Anaheim CA 92801-6129 | |
| (714) 828-0508 | |
| Not Available |
| Full Name | Jin Anaheim Park Dds, Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3006 W Lincoln Ave, Anaheim, California |
| Authorized Official Name and Position | John K Kim (OWNER) |
| Authorized Official Contact | 7148280508 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jin Anaheim Park Dds, Inc 936 Crenshaw Blvd # 100 Los Angeles CA 90019-1957 Ph: (714) 828-0508 | Jin Anaheim Park Dds, Inc 3006 W Lincoln Ave Anaheim CA 92801-6129 Ph: (714) 828-0508 |
| NPI Number | 1538513098 |
|---|---|
| Provider Enumeration Date | 04/20/2016 |
| Last Update Date | 04/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538513098 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (California) | Primary |
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