| Kim And Gandhi Kim Dental Corporation | |
|
5881 Pine Ave, Suite B Chino Hills CA 91709 | |
| (415) 608-2837 | |
| Not Available |
| Full Name | Kim And Gandhi Kim Dental Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5881 Pine Ave, Suite B, Chino Hills, California |
| Authorized Official Name and Position | Jin Y. Kim (ORTHODONTIST) |
| Authorized Official Contact | 4156082837 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kim And Gandhi Kim Dental Corporation 5881 Pine Ave, Suite B Chino Hills CA 91709 Ph: (415) 608-2837 | Kim And Gandhi Kim Dental Corporation 5881 Pine Ave, Suite B Chino Hills CA 91709 Ph: (415) 608-2837 |
| NPI Number | 1083030092 |
|---|---|
| Provider Enumeration Date | 03/14/2014 |
| Last Update Date | 03/14/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083030092 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 56935 (California) | Secondary |
| 261QD0000X | Clinic/center - Dental | 58103 (California) | Primary |
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