| Jesse G Kim DDS Inc | |
|
5168 Cumberland Dr Cypress CA 90630-3618 | |
| (408) 819-1709 | |
| Not Available |
| Full Name | Jesse G Kim DDS Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5168 Cumberland Dr, Cypress, California |
| Authorized Official Name and Position | Jesse Gawsung Kim (DENTIST) |
| Authorized Official Contact | 4088191709 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jesse G Kim DDS Inc 5168 Cumberland Dr Cypress CA 90630-3618 Ph: (408) 819-1709 | Jesse G Kim DDS Inc 5168 Cumberland Dr Cypress CA 90630-3618 Ph: (408) 819-1709 |
| NPI Number | 1578200804 |
|---|---|
| Provider Enumeration Date | 05/18/2022 |
| Last Update Date | 06/23/2022 |
| Certification Date | 06/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578200804 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (NU) | Primary |
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