| NPI | 1255544789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS H. KIM Dentist 805-488-2221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 44808) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2007-11-05 |