Organization
HA JUNG KIM, DDS45-321953
Active
Other names
Gonzales Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
HA JUNG KIM (GENERAL DENTIST)
(831) 240-0865
Entity
Organization
Contact information
Practice address
851 5TH ST STE H, GONZALES, CA 93926-9437
(831) 240-0865
Mailing address
851 5TH ST STE H, GONZALES, CA 93926-9437
(831) 240-0865
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/14/2014
Last updated
07/14/2014
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