Individual
BOM SEOK JEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1401 S BROOKHURST RD, STE 104, FULLERTON, CA 92833-4492
(714) 879-2828
(714) 879-2226
Mailing address
1401 S BROOKHURST RD STE 104, FULLERTON, CA 92833-4492
(714) 879-2828
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
62451
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
62451
CA
Other
Enumeration date
06/27/2013
Last updated
06/06/2023
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