| NPI | 1285143297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL S KIM Owner/President 760-776-5731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 60509) |
| Enumeration Date | 2017-09-21 |
| Last Update Date | 2022-07-21 |