| NPI | 1598026874 |
|---|---|
| Doing Business As | ION DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | RICHARD KIM Partiner 951-520-8221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 39018) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 34505) |
| 1223P0300X Dentist, Periodontics (Licence: CA 49631) | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 43494) | |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2012-06-04 |