| NPI | 1114559424 |
|---|---|
| Doing Business As | CENTRAL DENTAL |
| Entity Type | Organization |
| Authorized Contact | BRIAN CHONG-HAN KIM President 909-383-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2020-02-05 |