DONG JIN KIM DDS INC NPI 1346658622

NPI Information

NPI: 1346658622
Provider Name: DONG JIN KIM, DDS, INC

Doing Business As: PURE DENTAL

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
69420 RAMON RD
CATHEDRAL CITY, CA
ZIP 92234
Phone: (760) 202-1171
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DONG JIN KIM, DDS, INC is a dental clinic center in Cathedral City, CA. DONG JIN KIM, DDS, INC NPI is 1346658622. The provider is registered as an organization entity type.
The provider Is Doing Business As Pure Dental.

The provider's business location address is:

69420 RAMON RD
CATHEDRAL CITY, CA
ZIP 92234-349
Phone: (760) 202-1171
Fax: (760) 202-1170

The provider's authorized official is Cynthia Tak Kim .
The authorized official title is Owner and has the following contact phone number (760) 202-1171.

The enumeration date for this NPI number is 7/30/2014 and was last updated on 7/30/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	45327	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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