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JAESUNG KIM DMD INC NPI 1932750767


NPI Information

NPI: 1932750767
Provider Name: JAESUNG KIM DMD INC

Doing Business As: DENTAL CARE OF OCEANSIDE

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

Specialization: Dental

Address:
3776 MISSION AVE STE 138
OCEANSIDE, CA
ZIP 92058
Phone: (760) 439-2626
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JAESUNG KIM DMD INC is a dental clinic center in Oceanside, CA. JAESUNG KIM DMD INC NPI is 1932750767. The provider is registered as an organization entity type.
The provider Is Doing Business As Dental Care Of Oceanside.

The provider's business location address is:

3776 MISSION AVE STE 138
OCEANSIDE, CA
ZIP 92058-459
Phone: (760) 439-2626
Fax: (760) 439-2901

The provider's authorized official is Jaesung Kim .
The authorized official title is Doctor/owner and has the following contact phone number (760) 439-2626.

The enumeration date for this NPI number is 9/23/2019 and was last updated on 9/23/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QD0000XClinic/CenterDentalYes

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: 4/28/2024

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