| NPI | 1275937674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATI YOON Dentist/ Owner 623-203-7012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 28721) |
| Enumeration Date | 2014-10-14 |
| Last Update Date | 2014-10-14 |