NPI | 1093093205 |
---|---|
Entity Type | Organization |
Authorized Contact | EUNDUK CHOI Director 509-526-7012 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE60115108) |
Enumeration Date | 2011-07-22 |
Last Update Date | 2013-06-21 |