Jk Family Dental INC
Clinic/Center, Dental in Pico Rivera, CA. Organization (NPI-2).
NPI number1104570548
StatusActive
Last updated in NPPESFeb 4, 2022
Details
- NPI
- 1104570548
- Entity type
- Organization (NPI-2)
- Legal business name
- Jk Family Dental INC
- Organization subpart
- No
- Enumeration date
- Feb 4, 2022
- Certification date
- Feb 4, 2022
- Last updated
- Feb 4, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Other names
- Dental Practice Of Jae Eun Kim, Dmd (Doing Business As)
Practice location
8819 Whittier Blvd Ste 102Pico Rivera, CA 90660-2673
Phone 562-699-1000
Mailing address
8819 Whittier Blvd Ste 102Pico Rivera, CA 90660-2673
Phone 562-699-1000
Authorized official
Jae Eun Kim
General Dentist
6268009311
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