| Soo-dong Kim, D.d.s., Inc. | |
|
9261 Sierra Ave Fontana CA 92335-4710 | |
| (909) 822-2212 | |
| (909) 822-2698 |
| Full Name | Soo-dong Kim, D.d.s., Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9261 Sierra Ave, Fontana, California |
| Authorized Official Name and Position | Soo-dong Kim (PRESIDENT) |
| Authorized Official Contact | 9098222212 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soo-dong Kim, D.d.s., Inc. 9261 Sierra Ave Fontana CA 92335-4710 Ph: (909) 822-2212 | Soo-dong Kim, D.d.s., Inc. 9261 Sierra Ave Fontana CA 92335-4710 Ph: (909) 822-2212 |
| NPI Number | 1194922260 |
|---|---|
| Provider Enumeration Date | 06/30/2007 |
| Last Update Date | 09/12/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194922260 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 38859 (California) | Primary |
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