| Hyung-ju John Kim Dds Inc | |
|
1136 N Mount Vernon Ave Spc 202-203 San Bernardino CA 92411-2279 | |
| (909) 453-0244 | |
| Not Available |
| Full Name | Hyung-ju John Kim Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 1136 N Mount Vernon Ave Spc 202-203, San Bernardino, California |
| Authorized Official Name and Position | Hyung-ju John Kim Dds (CEO) |
| Authorized Official Contact | 9094530244 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hyung-ju John Kim Dds Inc 1136 N Mount Vernon Ave Spc 202-203 San Bernardino CA 92411-2279 Ph: () - | Hyung-ju John Kim Dds Inc 1136 N Mount Vernon Ave Spc 202-203 San Bernardino CA 92411-2279 Ph: (909) 453-0244 |
| NPI Number | 1154796043 |
|---|---|
| Provider Enumeration Date | 12/03/2015 |
| Last Update Date | 12/03/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154796043 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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