IndividualActive
Jonathan Gim, DDS
NPI 1215618863 · General Practice Dentistry · Colton, CA
Jonathan Gim, DDS is a General Practice Dentistry provider in Colton, CA (NPI 1215618863).
Provider details
- NPI number
- 1215618863
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 109007 (CA)
Practice location
1704 Tara Ridge Ct
Colton, CA 92324-9790
Phone: (909) 222-3010
Street-level locationGet directions
Mailing address
1704 Tara Ridge Ct
Colton, CA 92324-9790
Registry dates
- Enumerated
- 2023-07-27
- Last updated
- 2023-07-27
- Certified
- 2023-07-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.