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Organization
UNITED DENTAL FULLERTON CORP
Active
Organization
UNITED DENTAL FULLERTON CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEONG HOON KIM (CEO, CFO, & SECRETARY)
(714) 525-6900
Entity
Organization
Contact information
Practice address
1961 W MALVERN AVE STE G, FULLERTON, CA 92833-2177
(714) 525-6900
Mailing address
1961 W MALVERN AVE STE G, FULLERTON, CA 92833-2177
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
126800000X
Dental Assistant
—
—
Other
Enumeration date
12/29/2011
Last updated
12/29/2011
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