| NPI | 1174892657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEONG HOON KIM CEO, CFO, & Secretary 714-636-0088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 126800000X Dental Assistant |
| Enumeration Date | 2011-12-29 |
| Last Update Date | 2011-12-29 |