Provider Demographics
NPI:1891924387
Name:JUNSEUNG OH D.D.S. AND MINSEOK KIM D.M.D. INC
Entity Type:Organization
Organization Name:JUNSEUNG OH D.D.S. AND MINSEOK KIM D.M.D. INC
Other - Org Name:YON DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MIN
Authorized Official - Middle Name:SEOK
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:562-982-1380
Mailing Address - Street 1:4010 SEPULVEDA BLVD
Mailing Address - Street 2:SUITE 5
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-2372
Mailing Address - Country:US
Mailing Address - Phone:310-378-5358
Mailing Address - Fax:310-378-5318
Practice Address - Street 1:4010 SEPULVEDA BLVD
Practice Address - Street 2:SUITE 5
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-2372
Practice Address - Country:US
Practice Address - Phone:310-378-5358
Practice Address - Fax:310-378-5318
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-06
Last Update Date:2009-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA54166261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental