| NPI | 1164632071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM HUA A UY Dentist Treasurer 951-371-2424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 36625) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |