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21580 Bear Valley Rd. Ste B2-2 Apple Valley CA 92308 | |
(909) 522-0116 | |
Not Available |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 21580 Bear Valley Rd., Apple Valley, California |
Authorized Official Name and Position | Jin Seok Kim (OFFICE MANAGER) |
Authorized Official Contact | 9095220116 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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21580 Bear Valley Rd. Ste B2-2 Apple Valley CA 92308 Ph: (909) 522-0116 | 21580 Bear Valley Rd. Ste B2-2 Apple Valley CA 92308 Ph: (909) 522-0116 |
NPI Number | 1811346497 |
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Provider Enumeration Date | 06/06/2016 |
Last Update Date | 07/13/2017 |
Identifier | Type | State | Issuer |
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1811346497 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 62603 (California) | Primary |
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