Lakeside Dental Group

LBN: Ra And Kim Dental Corp
Lakeside Dental Group is an health care organization with primary practice located at 42002 Fox Farm Road #101 , Big Bear Lake CA 92315-6951. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Ra And Kim Dental Corp can be contacted via phone (909) 866-0606, or through Ra, Phil Jae via phone (909) 866-0606.

Contact Information

Primary practice address
42002 Fox Farm Road #101 Big Bear Lake CA 92315-6951
Phone: (909) 866-0606
Fax: (909) 866-5546
Website:
Map and Directions
Authorized official contact:
Name: Ra, Phil Jae Doctor of Dental Surgery (DDS)
Phone: (909) 866-0606

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X

Profile Details

NPI number 1457476137
LBN Legal business name Ra And Kim Dental Corp
DBA Doing business as Lakeside Dental Group
Authorized official Ra, Phil Jae Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 20th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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