| NPI | 1114485745 |
|---|---|
| Doing Business As | VIVID DENTAL |
| Entity Type | Organization |
| Authorized Contact | JIN KUK LEE Dentist 310-968-6125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-03-01 |
| Last Update Date | 2019-03-01 |