| NPI | 1376858175 |
|---|---|
| Doing Business As | GRACE DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | BOCK JUNG KIM President 323-773-2082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 48728) |
| Enumeration Date | 2010-08-17 |
| Last Update Date | 2010-08-17 |