NPI | 1114174216 |
---|---|
Doing Business As | SAN PEDRO FAMILY DENTIST |
Entity Type | Organization |
Authorized Contact | YOUNG KIM Dentist/Owner 310-832-8800 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 31939) |
Enumeration Date | 2008-08-20 |
Last Update Date | 2008-08-20 |