| Valley Desert Dentist | |
|
21580 Bear Valley Rd. Ste B2-2 Apple Valley CA 92308 | |
| (909) 522-0116 | |
| Not Available |
| Full Name | Valley Desert Dentist |
|---|---|
| Speciality | Dentist |
| 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 | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Valley Desert Dentist 21580 Bear Valley Rd. Ste B2-2 Apple Valley CA 92308 Ph: (909) 522-0116 | Valley Desert Dentist 21580 Bear Valley Rd. Ste B2-2 Apple Valley CA 92308 Ph: (909) 522-0116 |
| NPI Number | 1811346497 |
|---|---|
| Provider Enumeration Date | 06/06/2016 |
| Last Update Date | 07/13/2017 |
| Medicare PECOS PAC ID | 7618246992 |
|---|---|
| Medicare Enrollment ID | O20170629001002 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811346497 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 62603 (California) | Primary |
| Provider Name | Eugenie H Kim |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1487096699 PECOS PAC ID: 6103190988 Enrollment ID: I20170918001119 |
Apple Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 19190 Us Highway 18, Suite A, Apple Valley, CA 92307 Phone: 760-242-7753 Fax: 760-946-1122 | |
Apple Valley Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 21580 Bear Valley Rd Ste B2-2, Apple Valley, CA 92308 Phone: 760-247-6007 | |
Nader Afshari Dds & Soheil Amiroazzami Dds A Professional Dental Corp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 16127 Kasota Rd, Suite 101, Apple Valley, CA 92307 Phone: 760-242-3626 Fax: 760-242-5609 | |
Desert Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 19195 Us Highway 18, Suite 201, Apple Valley, CA 92307 Phone: 760-242-0796 Fax: 760-946-3814 | |
Radiant Smiles Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 18523 Corwin Rd Ste C, Apple Valley, CA 92307 Phone: 760-884-3764 | |
Dexter Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 19195 Outer Hwy 18 Suite 201, Apple Valley, CA 92307 Phone: 760-242-0796 Fax: 760-946-3814 | |
Elite Dental Services Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12291 Apple Valley Rd, Apple Valley, CA 92308 Phone: 760-247-3030 Fax: 760-247-3030 |