| NPI | 1174761522 |
|---|---|
| Doing Business As | ELDER CREEK DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | LOUIS MIN KEUN KIM President 916-391-0682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 53231) |
| Enumeration Date | 2009-01-22 |
| Last Update Date | 2009-01-22 |