Organization
KEON-JUNG KIM PROFESSIONAL DENTAL CORPORATION
Active
Parent organization
KEON-JUNG KIM DENTAL CORP.
Organization subpart
Yes
Provider details
NPI number
Legal business name
KEON-JUNG KIM DENTAL CORP.
Authorized official
KEON-JUNG KIM D.D.S. (OWNER)
(760) 479-9876
Entity
Organization
Contact information
Practice address
3257 CAMINO DE LOS COCHES, #303, CARLSBAD, CA 92009-8966
(760) 479-9876
(760) 479-0028
Mailing address
3257 CAMINO DE LOS COCHES, #303, CARLSBAD, CA 92009-8966
(760) 479-9876
(760) 479-0028
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
47919
CA
Other
Enumeration date
05/11/2007
Last updated
08/23/2007
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