Kim, Jeong E.

Kim, Jeong E. is an individual health care provider with primary practice located at 450 S Glendora Ave Ste. 106, West Covina CA 91790-3066. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Kim, Jeong E. can be contacted via phone (626) 856-3317.

Contact Information

Primary practice address
450 S Glendora Ave Ste. 106 West Covina CA 91790-3066
Phone: (626) 856-3317
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D54452 California

Profile Details

NPI number 1144439720
LBN Legal business name Kim, Jeong E.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2007
Last updated Feb 27th, 2008 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1144439720 NPPES
California Other D54452 STATE LICENSE

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