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Bom Jeon Dental Corp
Dental Clinic/Center in Fullerton, California
NPI 1013590025

Bom Jeon Dental Corp is a Dental Clinic/Center based in Fullerton, CA and is specialized in Dental. Bom Jeon Dental Corp practices in Fullerton, CA. The NPI Number for Bom Jeon Dental Corp is 1013590025 and holds a License No. (California).

The current practice location address for Bom Jeon Dental Corp is 1401 S Brookhurst Rd Ste 104, Fullerton, CA and can be reached out via phone at 714-879-2828.

Location: 1401 S Brookhurst Rd Ste 104, Fullerton, CA, 92833-4492
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1013590025
Provider Name
Bom Jeon Dental Corp
Credential
Provider Entity Type
Organization
Address
1401 S Brookhurst Rd Ste 104, Fullerton, CA, 92833-4492
Phone Number
714-879-2828
Fax Number
Provider Enumeration Date
04/29/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1401 S Brookhurst Rd Ste 104
City
Fullerton
State
California
Zip
92833-4492
Phone Number
714-879-2828
Fax Number
person
Provider Business Mailing Address Details
Address
1401 S Brookhurst Rd Ste 104
City
Fullerton
State
California
Zip
92833-4492
Phone Number
714-879-2828
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
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Definition
Definition to come...
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