Organization
JONGGUON KIM DDS DENTAL CORPORATION
Active
Other names
Smarteeth Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JONGGUON KIM DDS (DENTIST)
(951) 256-4556
Entity
Organization
Contact information
Practice address
1973 FOOTHILL PARKWAY, SUITE 102, CORONA, CA 92881
(951) 256-4556
Mailing address
4128 POMPIA WAY, CORONA, CA 92883-0687
(909) 342-3009
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/10/2019
Last updated
10/10/2019
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