NPI | 1093877672 |
---|---|
Entity Type | Organization |
Authorized Contact | PHILIP DAE-HYUN JO President/Owner 909-435-9471 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 48472) |
Enumeration Date | 2006-12-14 |
Last Update Date | 2014-11-25 |