Jonathan Kim, D.D.S. Valid NPI
Individual provider · Dentist · Fontana, CA
- NPI
- 1407090814
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 58129 (CA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2009-04-29
- Last updated
- 2009-10-26
Practice location
9190 Sierra Ave, #101
Fontana, CA 92335-8660
(909) 356-4200