Min-jeong Kim, Dds, Inc | |
20700 Lake Chabot Road Suite 205 Castrol Valley CA 94546 | |
(510) 538-2098 | |
Not Available |
Full Name | Min-jeong Kim, Dds, Inc |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 20700 Lake Chabot Road, Castrol Valley, California |
Authorized Official Name and Position | Min-jeong Kim (PRESIDENT) |
Authorized Official Contact | 4152441722 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Min-jeong Kim, Dds, Inc 158 Forest View Dr San Francisco CA 94132 Ph: (415) 244-1722 | Min-jeong Kim, Dds, Inc 20700 Lake Chabot Road Suite 205 Castrol Valley CA 94546 Ph: (510) 538-2098 |
NPI Number | 1356576532 |
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Provider Enumeration Date | 05/18/2009 |
Last Update Date | 05/18/2009 |
Identifier | Type | State | Issuer |
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1356576532 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 53004 (California) | Primary |