| United Dental Fullerton Corp | |
|
1961 W Malvern Ave Ste G Fullerton CA 92833-2177 | |
| (714) 525-6900 | |
| Not Available |
| Full Name | United Dental Fullerton Corp |
|---|---|
| Speciality | Dentist |
| Location | 1961 W Malvern Ave Ste G, Fullerton, California |
| Authorized Official Name and Position | Jeong Hoon Kim (CEO, CFO, & SECRETARY) |
| Authorized Official Contact | 7145256900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| United Dental Fullerton Corp 1961 W Malvern Ave Ste G Fullerton CA 92833-2177 Ph: () - | United Dental Fullerton Corp 1961 W Malvern Ave Ste G Fullerton CA 92833-2177 Ph: (714) 525-6900 |
| NPI Number | 1013286590 |
|---|---|
| Provider Enumeration Date | 12/29/2011 |
| Last Update Date | 12/29/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013286590 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 126800000X | Dental Assistant | (* (Not Available)) | Secondary |
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