| NPI | 1194103093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YANG KIM Administrator 714-505-2010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 11815) |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2015-07-16 |