NPI | 1275773905 |
---|---|
Entity Type | Organization |
Authorized Contact | JOONWOO JOHN SHIN President 714-826-5437 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 41546) |
Enumeration Date | 2009-02-20 |
Last Update Date | 2009-02-20 |