Organization
SHEN LING D.M.D. & JIN KIM D.D.S. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIN YEOP KIM D.D.A. M.P.H. (OWNER)
(909) 861-3043
Entity
Organization
Contact information
Practice address
620 N DIAMOND BAR BLVD, DIAMOND BAR, CA 91765-1037
(909) 861-3043
(909) 860-3263
Mailing address
620 N DIAMOND BAR BLVD, DIAMOND BAR, CA 91765-1037
(909) 861-3043
(909) 860-3263
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
41267
CA
Other
Enumeration date
12/22/2006
Last updated
08/22/2020
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