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Organization

CENTAL DENTAL

Active
Parent organization
CENTRAL DENTAL
Organization subpart
Yes

Provider details

NPI number
Legal business name
CENTRAL DENTAL
Authorized official
DR. BRIAN C KIM DDS (DENTIST/OWNER)
(909) 383-7777
Entity
Organization

Contact information

Practice address
222 N G ST STE 3, SAN BERNARDINO, CA 92410-3217
(909) 383-7777
(909) 383-7779
Mailing address
222 N G ST STE 3, SAN BERNARDINO, CA 92410-3217
(909) 383-7777
(909) 383-7779

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
04/23/2012
Last updated
04/23/2012
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