NPI | 1205161353 |
---|---|
Entity Type | Organization |
Authorized Contact | MIKE S CHOI President 805-494-4887 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0700X Dentist, Prosthodontics |
Additional Taxonomies | 122300000X Dentist |
1223P0300X Dentist, Periodontics | |
Enumeration Date | 2009-10-07 |
Last Update Date | 2009-10-07 |