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 |