| NPI | 1194091702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUNKOO KIM President 253-838-1640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: WA DE10367) |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2012-03-28 |