| NPI | 1457730889 |
|---|---|
| Doing Business As | NONE |
| Entity Type | Organization |
| Authorized Contact | JINYOUNG SHIN General Dentist 626-354-2230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 45191) |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2015-05-18 |