Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bom Jeon Dental Corp

Organization Dental Clinic/Center · NPI 1013590025

Bom Jeon Dental Corp is a Dental Clinic/Center in Fullerton, California. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1401 S Brookhurst Rd Ste 104
Fullerton, CA 92833-4492
Phone: (714) 879-2828
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1013590025
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bom Jeon — President · (714) 485-9999
NPI enumeratedApril 29, 2021
Last updated in NPPESApril 29, 2021
Certification dateApril 29, 2021
Mailing address1401 S Brookhurst Rd Ste 104, Fullerton, CA 92833-4492

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