| NPI | 1073854139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOOWON KIM President 714-778-6614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 54775) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 54886) |
| Enumeration Date | 2013-03-13 |
| Last Update Date | 2013-03-13 |