| NPI | 1144736125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAYE JANG Office Administrator 213-568-9681 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental |
| Additional Taxonomies | 1223G0001X Dentist General Practice |
| Enumeration Date | 2017-12-28 |
| Last Update Date | 2018-09-20 |