| Ra And Kim Dental Corp | |
| 
					42002 Fox Farm Road #101 Big Bear Lake CA 92315-6951  | |
| (909) 866-0606 | |
| (909) 866-5546 | 
| Full Name | Ra And Kim Dental Corp | 
|---|---|
| Speciality | Dentist | 
| Location | 42002 Fox Farm Road #101, Big Bear Lake, California | 
| Authorized Official Name and Position | Phil Jae Ra (DENTIST) | 
| Authorized Official Contact | 9098660606 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ra And Kim Dental Corp Po Box 6951 42002 Fox Farm Road #101 Big Bear Lake CA 92315-6951 Ph: (909) 866-0606  | Ra And Kim Dental Corp 42002 Fox Farm Road #101 Big Bear Lake CA 92315-6951 Ph: (909) 866-0606  | 
| NPI Number | 1457476137 | 
|---|---|
| Provider Enumeration Date | 03/20/2007 | 
| Last Update Date | 08/22/2020 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1457476137 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary | 
Bear Valley Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 41628 Big Bear Blvd, Big Bear Lake, CA 92315 Phone: 909-866-2646 Fax: 909-866-1796  | |
James Kim Dds A Professional Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 42002 Fox Farm Rd., #101, Big Bear Lake, CA 92315 Phone: 909-866-0606 Fax: 909-866-5546  | |
R & M Dental Management Co Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 42169-c Big Bear Blvd., Big Bear Lake, CA 92315 Phone: 909-866-1030 Fax: 909-866-9990  |