| Redefine Dentistry | |
|
12204 Artesia Blvd Artesia CA 90701-4345 | |
| (909) 525-3883 | |
| Not Available |
| Full Name | Redefine Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 12204 Artesia Blvd, Artesia, California |
| Authorized Official Name and Position | William Woo Kyeom Kim (DENTIST/ OWNER) |
| Authorized Official Contact | 9095253883 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Redefine Dentistry 866 Sunset Pl Diamond Bar CA 91765-4558 Ph: (909) 525-3883 | Redefine Dentistry 12204 Artesia Blvd Artesia CA 90701-4345 Ph: (909) 525-3883 |
| NPI Number | 1164146486 |
|---|---|
| Provider Enumeration Date | 09/29/2022 |
| Last Update Date | 09/29/2022 |
| Certification Date | 09/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164146486 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (NU) | Primary |
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