| NPI | 1336546514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAE SUK KIM Dentist/President 562-448-3976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 61888) |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2018-04-17 |