| NPI | 1104034842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS H. KIM Dentist 805-981-8116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 44808) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2008-08-13 |