NPI | 1255453668 |
---|---|
Entity Type | Organization |
Authorized Contact | JIN PARK CEO 213-385-8000 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 47406) |
Enumeration Date | 2007-04-05 |
Last Update Date | 2012-05-31 |