| Ha Jung Kim, Dds45-321953 | |
|
851 5th St Ste H Gonzales CA 93926-9437 | |
| (831) 240-0865 | |
| Not Available |
| Full Name | Ha Jung Kim, Dds45-321953 |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 851 5th St Ste H, Gonzales, California |
| Authorized Official Name and Position | Ha Jung Kim (GENERAL DENTIST) |
| Authorized Official Contact | 8312400865 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ha Jung Kim, Dds45-321953 851 5th St Ste H Gonzales CA 93926-9437 Ph: (831) 240-0865 | Ha Jung Kim, Dds45-321953 851 5th St Ste H Gonzales CA 93926-9437 Ph: (831) 240-0865 |
| NPI Number | 1427465236 |
|---|---|
| Provider Enumeration Date | 07/14/2014 |
| Last Update Date | 07/14/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427465236 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |