NPI | 1417973058 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID SHIHYUNG LEE Owner/Dentist 626-571-0251 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 48494) |
Enumeration Date | 2006-07-15 |
Last Update Date | 2020-08-22 |