NPI 1013286590
United Dental Fullerton Corp
Practice location
- Address
- 1961 W Malvern Ave STE G, Fullerton, CA 92833-2177
- Phone
- (714) 525-6900
Authorised official
- Name
- Jeong Hoon Kim
- Title
- Ceo, Cfo, & Secretary
- Phone
- (714) 525-6900
Registered specialties (2)
Dentist
Primary
Dental Assistant
Registry record
- NPI
- 1013286590
- Entity type
- Organization
- NPI issued
- 29 Dec 2011
- Record last updated
- 29 Dec 2011
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.