| Jongguon Kim Dds Dental Corporation | |
|
1973 Foothill Parkway Suite 102 Corona CA 92881 | |
| (951) 256-4556 | |
| Not Available |
| Full Name | Jongguon Kim Dds Dental Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1973 Foothill Parkway, Corona, California |
| Authorized Official Name and Position | Jongguon Kim (DENTIST) |
| Authorized Official Contact | 9512564556 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jongguon Kim Dds Dental Corporation 4128 Pompia Way Corona CA 92883-0687 Ph: (909) 342-3009 | Jongguon Kim Dds Dental Corporation 1973 Foothill Parkway Suite 102 Corona CA 92881 Ph: (951) 256-4556 |
| NPI Number | 1861034944 |
|---|---|
| Provider Enumeration Date | 10/10/2019 |
| Last Update Date | 10/10/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861034944 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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