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Organization

BOM SEOK JEON, DDS, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BOM SEOK JEON DDS (PRESIDENT)
(213) 700-5090
Entity
Organization

Contact information

Practice address
1401 S BROOKHURST RD STE 104, FULLERTON, CA 92833-4492
(714) 879-2828
Mailing address
1401 S BROOKHURST RD STE 104, FULLERTON, CA 92833-4492
(714) 879-2828

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
62451
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1295175859
DENTICAL
CA
Enumeration date
05/12/2016
Last updated
05/12/2016
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