| NPI | 1194922260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOO-DONG KIM President 909-822-2212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 38859) |
| Enumeration Date | 2007-06-30 |
| Last Update Date | 2007-09-12 |