# DR. JEFFREY J KIM'S DENTAL, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841316437
- **Authorized official:** DR. JEFFREY J KIM (OWNER)
- **Authorized official phone:** (909) 884-4733

## Contact information

- **Practice address:** 784 N D STREET, SAN BERNARDINO, CA 92401
- **Practice address phone:** (909) 884-4733
- **Practice address fax:** (909) 884-0668
- **Mailing address:** 784 N D STREET, SAN BERNARDINO, CA 92401
- **Mailing address phone:** (909) 884-4733
- **Mailing address fax:** (909) 884-0668

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 40252 | CA | Yes |

## Other

- **Enumeration date:** 03/22/2007
- **Last updated:** 06/29/2016