| San Jose Young Dental | |
|
14514 Ramona Blvd Ste 1 Baldwin Park CA 91706-3361 | |
| (626) 337-4700 | |
| (626) 337-8133 |
| Full Name | San Jose Young Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 14514 Ramona Blvd Ste 1, Baldwin Park, California |
| Authorized Official Name and Position | Young J Kim (CEO) |
| Authorized Official Contact | 6263374700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Jose Young Dental 14514 Ramona Blvd Ste 1 Baldwin Park CA 91706-3361 Ph: (626) 337-4700 | San Jose Young Dental 14514 Ramona Blvd Ste 1 Baldwin Park CA 91706-3361 Ph: (626) 337-4700 |
| NPI Number | 1598028136 |
|---|---|
| Provider Enumeration Date | 06/19/2012 |
| Last Update Date | 06/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598028136 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 57043 (California) | Primary |
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