| NPI | 1356753545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOONG GUN KWON Treasurer 213-739-8678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2014-05-22 |