Kim, Chung

Kim, Chung is an sole proprietor health care provider with primary practice located at 180 E 4Th St Ste A , Perris CA 92570-2125. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Kim, Chung can be contacted via phone (951) 657-3102.

Contact Information

Primary practice address
180 E 4Th St Ste A Perris CA 92570-2125
Phone: (951) 657-3102
Fax: (951) 657-7783
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 23935 California

Profile Details

NPI number 1124170717
LBN Legal business name Kim, Chung
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2007
Last updated Jul 8th, 2007 - about 19 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.

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