| United Dental Irvine Corporation | |
|
15315 Culver Dr Ste 185 Irvine CA 92604-7133 | |
| (949) 551-9900 | |
| Not Available |
| Full Name | United Dental Irvine Corporation |
|---|---|
| Speciality | Dentist |
| Location | 15315 Culver Dr Ste 185, Irvine, California |
| Authorized Official Name and Position | Jeong Hoon Kim (CEO, CFO, & SECRETARY) |
| Authorized Official Contact | 9495519900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| United Dental Irvine Corporation 15315 Culver Dr Ste 185 Irvine CA 92604-7133 Ph: () - | United Dental Irvine Corporation 15315 Culver Dr Ste 185 Irvine CA 92604-7133 Ph: (949) 551-9900 |
| NPI Number | 1932478427 |
|---|---|
| Provider Enumeration Date | 12/29/2011 |
| Last Update Date | 12/29/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932478427 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 126800000X | Dental Assistant | (* (Not Available)) | Secondary |
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