| NPI | 1063952570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WOO YOUNG LEE President 408-725-2442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 52883) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 35663) |
| 1223G0001X Dentist, General Practice (Licence: CA 61028) | |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2017-03-02 |