| NPI | 1104361757 |
|---|---|
| Former Legal Business Name | PRIME CARE DENTAL |
| Entity Type | Organization |
| Authorized Contact | DAVID DONGSHIN YOO CEO 562-463-6163 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 51676) |
| Enumeration Date | 2017-01-05 |
| Last Update Date | 2017-01-05 |