NPI | 1023141728 |
---|---|
Doing Business As | MIRACLE MILE COMPREHENSIVE DENTAL |
Entity Type | Organization |
Authorized Contact | HAK CHEON KIM CEO 323-930-4600 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 36394) |
Enumeration Date | 2007-03-13 |
Last Update Date | 2020-08-22 |