| NPI | 1265129852 |
|---|---|
| Doing Business As | STARLIGHT DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | ALBERT TAE CEO 424-392-2715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Additional Taxonomies | 122300000X Dentist |
| 1223P0221X Dentist, Pediatric Dentistry | |
| 124Q00000X Dental Hygienist | |
| 126800000X Dental Assistant | |
| Enumeration Date | 2023-04-24 |
| Last Update Date | 2023-07-25 |