| NPI | 1306235635 |
|---|---|
| Former Legal Business Name | INC |
| Entity Type | Organization |
| Authorized Contact | JAY J SUNG Owner 626-915-5317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CA 39093) |
| Enumeration Date | 2015-01-09 |
| Last Update Date | 2015-01-09 |