Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
KIM, JONG AND PARK DENTAL CORPORATION
Active
Organization
KIM, JONG AND PARK DENTAL CORPORATION
Active
Other names
ion dental group
Organization subpart
No
Provider details
NPI number
Authorized official
GISELA BAILON (MANAGER)
(951) 520-8221
Entity
Organization
Contact information
Practice address
1032 E 6TH ST, CORONA, CA 92879
(951) 520-8221
Mailing address
1032 E 6TH ST, CORONA, CA 92879
(951) 520-8221
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
39018
CA
1223G0001X
General Practice Dentistry
34505
CA
1223P0300X
Periodontics
49631
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
43494
CA
Other
Enumeration date
06/04/2012
Last updated
08/24/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up