| NPI | 1285168641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENNA KIM President/Orthodontist 949-697-3232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 58338) |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2022-12-05 |