Kim, Yoon Jeong
Kim, Yoon Jeong is an individual health care provider with primary practice located at 11092 Anderson Street Llu School Of Dentistry, Loma Linda CA 92350-0001. She recently has only one registered license in Dental Providers / Periodontics, which is considered as her primary health care specialty. Kim, Yoon Jeong can be contacted via phone (909) 558-4613.Contact Information
Primary practice address
11092 Anderson Street Llu School Of Dentistry
Loma Linda CA 92350-0001
Phone: (909) 558-4613
Fax: (909) 558-4192
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Periodontics | 1223P0300X | 55437 | California |
Profile Details
NPI number | 1811145196 |
---|---|
LBN Legal business name | Kim, Yoon Jeong |
Credentials | DDS, MS |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 29th, 2008 |
Last updated | Aug 29th, 2008 - about 16 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1811145196 | NPPES |
California | Other | 55437 | STATE LICENSE |
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