Organization
JD KIM MD, DDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEONG DOO KIM MD, DDS (PRESIDENT)
(310) 713-5159
Entity
Organization
Contact information
Practice address
4000 TYLER ST STE A, RIVERSIDE, CA 92503-3458
(951) 687-4460
(951) 687-7448
Mailing address
20760 PASEO DE LA RAMBLA, YORBA LINDA, CA 92887
(310) 713-5159
(951) 687-7448
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
50622
CA
Other
Enumeration date
08/11/2011
Last updated
08/11/2011
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