Ha Jung Kim, Dds45-321953
Organization Active NPI Dental Clinic/Center · Gonzales, CA
NPI 1427465236 · NPPES record last updated Jul 14, 2014
Key facts
- NPI
- 1427465236
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- Legal business name
- HA JUNG KIM, DDS45-321953
- Practice address
- 851 5TH St Ste H
Gonzales, CA 93926-9437 - Phone
- (831) 240-0865
- NPI assigned
- Jul 14, 2014
- Organization subpart
- No
Authorized official
- Name
- Ha Jung Kim
- Title
- General Dentist
- Phone
- (831) 240-0865
Practitioners 1
National Provider Directory
Locations
851 5th St
Ste H
Gonzales, CA 93926
Phone (831) 240-0865
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Yes |
Addresses
Primary practice location
851 5TH St Ste H
Gonzales, CA 93926-9437
Mailing address
851 5TH St Ste H
Gonzales, CA 93926-9437
Phone (831) 240-0865
Other names
- Gonzales Dental Care
Other providers in Gonzales, CA
- Gonzales Medical Center, Inc
- Gonzales Medical Group Inc
- Gonzales Unified School District
- Lizbeth Guzman-Palacios
- Maria Rashel Guzman
- Janeth E Herrejon
- Amanda Sue Jackson
- Holly James
- Ha Jung Kim
- Daniel Woo Kook
All providers in Gonzales, CA · Dental Clinic/Center in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 14, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.