Kim, Jae Jong

Kim, Jae Jong is an individual health care provider with primary practice located at 17476 E Colima Rd , Rowland Heights CA 91748. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Kim, Jae Jong can be contacted via phone (626) 810-8008.

Contact Information

Primary practice address
17476 E Colima Rd Rowland Heights CA 91748
Phone: (626) 810-8008
Fax: (626) 810-2124
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 27010 California

Profile Details

NPI number 1396869467
LBN Legal business name Kim, Jae Jong
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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