| NPI | 1386054674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOYEON KIM Dentist/Owner 714-835-8797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0001X Dentist Dental Public Health (Licence: CA 54627) |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2019-08-05 |