Organization
JOHNATHAN HYUN KIM DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHNATHAN HYUN KIM DDS (PRESIDENT/CEO)
(909) 279-8323
Entity
Organization
Contact information
Practice address
1850 S WATERMAN AVE STE B, SAN BERNARDINO, CA 92408-2852
(909) 890-1529
Mailing address
1850 S WATERMAN AVE STE B, SAN BERNARDINO, CA 92408-2852
(909) 890-1592
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/25/2022
Last updated
03/25/2022
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