| NPI | 1255084422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSY KIM Dentist Anesthesiologist 909-296-2338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0004X Dentist, Dentist Anesthesiologist Speciality |
| Enumeration Date | 2022-01-28 |
| Last Update Date | 2022-01-28 |