Organization
BRIAN C KIM DDS INC
Active
Other names
central dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN CHONG-HAN KIM DDS (PRESIDENT)
(909) 383-7777
Entity
Organization
Contact information
Practice address
222 N G ST STE 3, SAN BERNARDINO, CA 92410-3217
(909) 383-7777
Mailing address
222 N G ST STE 3, SAN BERNARDINO, CA 92410-3217
(909) 383-7777
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/05/2020
Last updated
02/05/2020
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