| NPI | 1316074636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYU HOON LEE President 909-777-5900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 51676) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 50772) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2008-06-26 |