Ra and Kim Dental Corp
NPI #1457476137 in Big Bear Lake, California
Provider Information
- NPI Number
- 1457476137
- Entity Type
- Organization
- Organization Name
- Ra and Kim Dental Corp
- Primary Specialty
- Dentist
- Enumeration Date
- Mar 20, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 42002 FOX FARM ROAD #101
- City
- Big Bear Lake
- State
- California
- ZIP Code
- 92315-6951
- Phone
- (909) 866-0606
Authorized Official
- Name
- DR. PHIL JAE RA, D.D.S.
- Title
- DENTIST
- Phone
- (909) 866-0606
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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