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:
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Health care specialties

SpecialtyCodeLicense #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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