| NPI | 1386192821 |
|---|---|
| Doing Business As | PREMIER DENTAL SUITE |
| Entity Type | Organization |
| Authorized Contact | SONG K KIM President 661-349-8280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 58863) |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2017-11-21 |