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Keon-jung Kim Dental Corporation
Dental Clinic/Center in Tustin, California
NPI 1932315298

Keon-jung Kim Dental Corporation is a Dental Clinic/Center based in Tustin, CA and is specialized in Dental. Keon-jung Kim Dental Corporation practices in Tustin, CA. The NPI Number for Keon-jung Kim Dental Corporation is 1932315298 and holds a License No. 47919 (California).

The current practice location address for Keon-jung Kim Dental Corporation is 2492 Walnut Ave Ste 200, Tustin, CA and can be reached out via phone at 949-679-6000 and via fax at 949-679-6001.

Location: 2492 Walnut Ave Ste 200, Tustin, CA, 92780-6960
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1932315298
Provider Name
Keon-jung Kim Dental Corporation
Credential
Provider Entity Type
Organization
Address
2492 Walnut Ave Ste 200, Tustin, CA, 92780-6960
Phone Number
949-679-6000
Fax Number
949-679-6001
Provider Enumeration Date
05/15/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2492 Walnut Ave Ste 200
City
Tustin
State
California
Zip
92780-6960
Phone Number
949-679-6000
Fax Number
949-679-6001
person
Provider Business Mailing Address Details
Address
2492 Walnut Ave Ste 200
City
Tustin
State
California
Zip
92780-6960
Phone Number
949-679-6000
Fax Number
949-679-6001
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
47919 (California)
Definition
Definition to come...
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