| Johnathan Kim D.d.s. Dental Practice | |
|
1850 S Waterman Ave Ste B San Bernardino CA 92408-2852 | |
| (909) 890-1529 | |
| Not Available |
| Full Name | Johnathan Kim D.d.s. Dental Practice |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1850 S Waterman Ave Ste B, San Bernardino, California |
| Authorized Official Name and Position | Johnathan Hyun Kim (OWNER/PRESIDENT) |
| Authorized Official Contact | 9098901529 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Johnathan Kim D.d.s. Dental Practice 1850 S Waterman Ave Ste B San Bernardino CA 92408-2852 Ph: (909) 890-1529 | Johnathan Kim D.d.s. Dental Practice 1850 S Waterman Ave Ste B San Bernardino CA 92408-2852 Ph: (909) 890-1529 |
| NPI Number | 1184335754 |
|---|---|
| Provider Enumeration Date | 12/05/2022 |
| Last Update Date | 12/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184335754 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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› Verified 9 days ago
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