| NPI | 1003320565 |
|---|---|
| Doing Business As | PREMIER DENTAL SUITE |
| Entity Type | Organization |
| Authorized Contact | SONG K KIM President 661-349-8280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 58863) |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2017-11-20 |