NPI | 1336510528 |
---|---|
Doing Business As | VIVIAN KWON D.D.S. |
Entity Type | Organization |
Authorized Contact | VIVIAN KWON Owner/Dentist 951-689-8544 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA ca43452) |
Enumeration Date | 2015-10-13 |
Last Update Date | 2015-10-13 |