# JIN Y KIM DENTAL GROUP INC

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

## Provider details

- **NPI number:** 1871121707
- **Authorized official:** JIN YOUNG KIM DDS (CEO)
- **Authorized official phone:** (909) 859-8800

## Contact information

- **Practice address:** 20657 GOLDEN SPRINGS DR STE 205B, DIAMOND BAR, CA 91789-3837
- **Practice address phone:** (909) 859-8800
- **Mailing address:** 20657 GOLDEN SPRINGS DR STE 205B, DIAMOND BAR, CA 91789-3837
- **Mailing address phone:** (909) 859-8800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | — |
| 1223P0700X | Prosthodontics | — | — | Yes |

## Other

- **Enumeration date:** 03/27/2020
- **Last updated:** 03/27/2020