| NPI | 1427899111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROY KIM Office Manager 714-637-4200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Additional Taxonomies | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2024-06-05 |
| Last Update Date | 2024-06-05 |