| Jin Jin Dental Inc | |
|
9681 Garden Grove Blvd Ste 104 Garden Grove CA 92844-1548 | |
| (714) 539-8275 | |
| Not Available |
| Full Name | Jin Jin Dental Inc |
|---|---|
| Speciality | Dentist |
| Location | 9681 Garden Grove Blvd Ste 104, Garden Grove, California |
| Authorized Official Name and Position | Janice Park (ADMIN) |
| Authorized Official Contact | 7143374410 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jin Jin Dental Inc 9681 Garden Grove Blvd Ste 104 Garden Grove CA 92844-1548 Ph: () - | Jin Jin Dental Inc 9681 Garden Grove Blvd Ste 104 Garden Grove CA 92844-1548 Ph: (714) 539-8275 |
| NPI Number | 1598272775 |
|---|---|
| Provider Enumeration Date | 01/09/2018 |
| Last Update Date | 01/09/2018 |
| Medicare PECOS PAC ID | 8820359698 |
|---|---|
| Medicare Enrollment ID | O20180220000407 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598272775 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| Provider Name | Ojin Kwon |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1336209212 PECOS PAC ID: 9739440504 Enrollment ID: I20180220000463 |
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