NPI | 1174848923 |
---|---|
Doing Business As | BEN MADDOX FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | JIHYUN KIM President 213-210-4908 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 54163) |
Enumeration Date | 2010-04-05 |
Last Update Date | 2021-08-12 |