Kim, Jeong Doo
Kim, Jeong Doo is an individual health care provider with primary practice located at 4000 Tyler St Ste A , Riverside CA 92503-3458. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Kim, Jeong Doo can be contacted via phone (951) 687-4460.Contact Information
Primary practice address
4000 Tyler St Ste A
Riverside CA 92503-3458
Phone: (951) 687-4460
Fax: (951) 687-7448
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 50622 | California |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | A102220 | California |
Profile Details
| NPI number | 1578778825 |
|---|---|
| LBN Legal business name | Kim, Jeong Doo |
| Credentials | M.D, D.D.S |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2007 |
| Last updated | Oct 18th, 2012 - about 12 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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