| Min-jeong Kim, Dds, Inc | |
| 
					20700 Lake Chabot Road Suite 205 Castrol Valley CA 94546  | |
| (510) 538-2098 | |
| Not Available | 
| Full Name | Min-jeong Kim, Dds, Inc | 
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics | 
| Location | 20700 Lake Chabot Road, Castrol Valley, California | 
| Authorized Official Name and Position | Min-jeong Kim (PRESIDENT) | 
| Authorized Official Contact | 4152441722 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Min-jeong Kim, Dds, Inc 158 Forest View Dr San Francisco CA 94132 Ph: (415) 244-1722  | Min-jeong Kim, Dds, Inc 20700 Lake Chabot Road Suite 205 Castrol Valley CA 94546 Ph: (510) 538-2098  | 
| NPI Number | 1356576532 | 
|---|---|
| Provider Enumeration Date | 05/18/2009 | 
| Last Update Date | 05/18/2009 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1356576532 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 53004 (California) | Primary |