| NPI | 1356931117 |
|---|---|
| Doing Business As | DENTAL KIDZ CLUB |
| Entity Type | Organization |
| Authorized Contact | JIHEE CHUN President 909-648-3707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-01-25 |
| Last Update Date | 2022-08-25 |