| NPI | 1437429669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERI L KIM Co Owner 916-792-9267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 55811) |
| Enumeration Date | 2012-01-04 |
| Last Update Date | 2012-01-04 |