| NPI | 1376708610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONG KOOG NOH President 949-721-1730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 54697) |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2008-07-25 |