| NPI | 1427245091 |
|---|---|
| Doing Business As | AV SIERRA DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | JASON JAESONG OH Owner 661-273-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 53091) |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2007-09-27 |