Organization
BOM JEON DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOM JEON DDS (PRESIDENT)
(714) 485-9999
Entity
Organization
Contact information
Practice address
1401 S BROOKHURST RD STE 104, FULLERTON, CA 92833-4492
(714) 879-2828
Mailing address
1401 S BROOKHURST RD STE 104, FULLERTON, CA 92833-4492
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/29/2021
Last updated
04/29/2021
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