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Organization

JH KIM DENTAL PROFESSIONAL CORP.

Active
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Organization

JH KIM DENTAL PROFESSIONAL CORP.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOO HYUNG N/A KIM DDS (DENTIST/OWNER)
(909) 875-8670
Entity
Organization

Contact information

Practice address
350 N RIVERSIDE AVE, RIALTO, CA 92376-5926
(909) 875-8670
(909) 875-3626
Mailing address
350 N RIVERSIDE AVE, RIALTO, CA 92376-5926
(909) 875-8670
(909) 875-3626

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0700X
Prosthodontics
—
—

Other

Enumeration date
11/08/2021
Last updated
11/08/2021
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