| NPI | 1447641139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINSEOK KANG Dentist/Owner 623-466-6322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0004X Dentist, Dentist Anesthesiologist Speciality (Licence: AZ 8683) |
| Enumeration Date | 2015-02-17 |
| Last Update Date | 2015-02-17 |