Organization
JIN Y KIM DENTAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIN YOUNG KIM DDS (CEO)
(909) 859-8800
Entity
Organization
Contact information
Practice address
20657 GOLDEN SPRINGS DR STE 205B, DIAMOND BAR, CA 91789-3837
(909) 859-8800
Mailing address
20657 GOLDEN SPRINGS DR STE 205B, DIAMOND BAR, CA 91789-3837
(909) 859-8800
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223P0700X
Prosthodontics
Primary
—
—
Other
Enumeration date
03/27/2020
Last updated
03/27/2020
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