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

Individual provider Dentist · NPI 1629680053

In Gi Son, DDS is a Dentist in San Bernardino, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2020
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

1136 N Mount Vernon Ave
San Bernardino, CA 92411-2279
Phone: (415) 672-3509
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 105238 (CA)

Record details

NPI number1629680053
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedAugust 18, 2020
Last updated in NPPESAugust 18, 2020
Certification dateAugust 18, 2020

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