| NPI | 1053860684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL CHON Owner 626-390-6775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: CA 45442) |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2016-09-23 |