| 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 |