| Kim&park A Dental Corporation | |
|
1374 W Foothill Blvd Ste 2e Rialto CA 92376-4621 | |
| (909) 874-7444 | |
| (909) 874-7453 |
| Full Name | Kim&park A Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1374 W Foothill Blvd Ste 2e, Rialto, California |
| Authorized Official Name and Position | Charles C Park (PRESIDENT) |
| Authorized Official Contact | 9096100565 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kim&park A Dental Corporation 1374 W Foothill Blvd Ste 2e Rialto CA 92376-4621 Ph: (909) 874-7444 | Kim&park A Dental Corporation 1374 W Foothill Blvd Ste 2e Rialto CA 92376-4621 Ph: (909) 874-7444 |
| NPI Number | 1912226804 |
|---|---|
| Provider Enumeration Date | 05/18/2010 |
| Last Update Date | 05/18/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912226804 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 50087 (California) | Primary |
Patricia Ann Pompa, D.d.s., Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1723 N Riverside Ave, Rialto, CA 92376 Phone: 909-874-3210 Fax: 909-874-3802 | |
Western Dental Services, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 260 W. Foothill Blvd., Rialto, CA 92376 Phone: 909-546-1366 Fax: 909-820-7561 | |