Bom Jeon Dental Corp | |
1401 S Brookhurst Rd Ste 104 Fullerton CA 92833-4492 | |
(714) 879-2828 | |
Not Available |
Full Name | Bom Jeon Dental Corp |
---|---|
Speciality | Clinic/center - Dental |
Location | 1401 S Brookhurst Rd Ste 104, Fullerton, California |
Authorized Official Name and Position | Bom Jeon (PRESIDENT) |
Authorized Official Contact | 7144859999 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Bom Jeon Dental Corp 1401 S Brookhurst Rd Ste 104 Fullerton CA 92833-4492 Ph: () - | Bom Jeon Dental Corp 1401 S Brookhurst Rd Ste 104 Fullerton CA 92833-4492 Ph: (714) 879-2828 |
NPI Number | 1013590025 |
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Provider Enumeration Date | 04/29/2021 |
Last Update Date | 04/29/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013590025 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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