| NPI | 1104538404 |
|---|---|
| Doing Business As | NORTHTOWNE DENTAL |
| Entity Type | Organization |
| Authorized Contact | CHRIS YONGHYUN KIM President 909-275-1626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-12-19 |
| Last Update Date | 2022-12-19 |