| 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 |