NPI | 1083493183 |
---|---|
Entity Type | Organization |
Authorized Contact | TINA JUNG Owner Dentist 213-335-6366 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0300X Dentist, Periodontics |
Additional Taxonomies | 1223G0001X Dentist, General Practice |
Enumeration Date | 2023-09-27 |
Last Update Date | 2023-09-27 |