| 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 |