Johnathan Kim D.d.s. Dental Practice
NPI #1184335754 in San Bernardino, California
Provider Information
- NPI Number
- 1184335754
- Entity Type
- Organization
- Organization Name
- Johnathan Kim D.d.s. Dental Practice
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Dec 5, 2022
- Last Updated
- Dec 5, 2022
Practice Location
- Address
- 1850 S WATERMAN AVE STE B
- City
- San Bernardino
- State
- California
- ZIP Code
- 92408-2852
- Phone
- (909) 890-1529
Authorized Official
- Name
- JOHNATHAN HYUN KIM, DDS
- Title
- OWNER/PRESIDENT
- Phone
- (909) 890-1529
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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