NPI | 1164166419 |
---|---|
Doing Business As | CLEARWAVE ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | JIN HEE KWAK CEO 310-601-0975 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2022-04-22 |
Last Update Date | 2022-04-22 |