| Grace Dentistry | |
|
6501 Eastern Ave Ste B Bell Gardens CA 90201-3003 | |
| (323) 773-2082 | |
| (323) 560-3905 |
| Full Name | Grace Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6501 Eastern Ave Ste B, Bell Gardens, California |
| Authorized Official Name and Position | Bock Jung Kim (PRESIDENT) |
| Authorized Official Contact | 3237732082 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Dentistry 6501 Eastern Ave Ste B Bell Gardens CA 90201-3003 Ph: (323) 773-2082 | Grace Dentistry 6501 Eastern Ave Ste B Bell Gardens CA 90201-3003 Ph: (323) 773-2082 |
| NPI Number | 1376858175 |
|---|---|
| Provider Enumeration Date | 08/17/2010 |
| Last Update Date | 08/17/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376858175 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 48728 (California) | Primary |
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