Keon-Jung Kim Dental Corporation in Tustin - Dental
Keon-Jung Kim Dental Corporation - NPI 1932315298
Keon-Jung Kim Dental Corporation is a Dental in Tustin, California. Keon-Jung Kim Dental Corporation practices all healthcare services and medical treatments related to Dental. The NPI Number for Keon-Jung Kim Dental Corporation is 1932315298. The last update date is 2018-03-17.
Keon-Jung Kim Dental Corporation's current location address is 2492 Walnut Ave Ste 200, Tustin, California. You can contact this provider via phone number 9496796000 and fax number 9496796001. The mailing address for Keon-Jung Kim Dental Corporation is 2492 Walnut Ave Ste 200, Tustin, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Keon-Jung Kim Dental Corporation |
|---|---|
| Address | 2492 Walnut Ave Ste 200, Tustin, California |
| Phone Number | 9496796000 |
| Fax Number | 9496796001 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Kim Keon-Jung |
| Credentials | D.D.S. |
| Telephone Number | 9496796000 |
NPI Number Detail
| NPI Number | 1932315298 |
|---|---|
| Provider Enumeration Date | 2007-05-15 |
| Last Updated Date | 2018-03-17 |
Provider Mailing Address Detail
| Address | 2492 Walnut Ave Ste 200 |
|---|---|
| City | Tustin |
| State | California (CA) |
| Post Code | 927806960 |
| Phone Number | 9496796000 |
| Fax Number | 9496796001 |
Provider's Primary Taxonomy Detail
| Speciality | Dental |
|---|---|
| Taxonomy | 261Qd0000X |
| Licence No | 47919 |
|
Definition: Provides general and specialized dental care and oral surgery. |
|
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Keon-Jung Kim Dental Corporation by the Centers for Medicare & Medicaid Services?
The Keon-Jung Kim Dental Corporation has been assigned the NPI (National Provider Identifier) 1932315298 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Keon-Jung Kim Dental Corporation is located?
The Keon-Jung Kim Dental Corporation is situated at the following address: 2492 Walnut Ave Ste 200, Tustin, CA, 927806960.
What is the Keon-Jung Kim Dental Corporation's area of specialization and corresponding taxonomy classification?
The Keon-Jung Kim Dental Corporation's specialty field is Dental, and it falls under the taxonomy code 261Qd0000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1932315298 to Keon-Jung Kim Dental Corporation?
The Centers for Medicare & Medicaid Services assigned the 1932315298 to Keon-Jung Kim Dental Corporation on 2007-05-15.
As of what date was the information regarding Keon-Jung Kim Dental Corporation, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Keon-Jung Kim Dental Corporation, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2018-03-17.
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