| NPI | 1285008490 |
|---|---|
| Doing Business As | CHILDREN'S DENTISTRY OF AV |
| Entity Type | Organization |
| Authorized Contact | DAVID HAN Partner 323-839-0450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2015-11-26 |
| Last Update Date | 2015-11-26 |