| NPI | 1063687937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIN YOUNG KIM President 323-445-6144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist Prosthodontics (Licence: CA 54575) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: CA 54575) |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2020-03-27 |