NPI | 1356720767 |
---|---|
Entity Type | Organization |
Authorized Contact | YOUNG JUN Owner/President 714-985-9690 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 55513) |
Enumeration Date | 2015-05-19 |
Last Update Date | 2015-05-19 |