| Jin Y Kim Dental Group Inc | |
|
20657 Golden Springs Dr Ste 205b Diamond Bar CA 91789-3837 | |
| (909) 859-8800 | |
| Not Available |
| Full Name | Jin Y Kim Dental Group Inc |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 20657 Golden Springs Dr Ste 205b, Diamond Bar, California |
| Authorized Official Name and Position | Jin Young Kim (CEO) |
| Authorized Official Contact | 9098598800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jin Y Kim Dental Group Inc 20657 Golden Springs Dr Ste 205b Diamond Bar CA 91789-3837 Ph: (909) 859-8800 | Jin Y Kim Dental Group Inc 20657 Golden Springs Dr Ste 205b Diamond Bar CA 91789-3837 Ph: (909) 859-8800 |
| NPI Number | 1871121707 |
|---|---|
| Provider Enumeration Date | 03/27/2020 |
| Last Update Date | 03/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871121707 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223P0700X | Dentist - Prosthodontics | (* (Not Available)) | Primary |
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