| NPI | 1346605672 |
|---|---|
| Other Name | ELITE DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | WOO SUNG PARK Owner 714-553-5977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 54186) |
| Enumeration Date | 2015-12-31 |
| Last Update Date | 2015-12-31 |