| NPI | 1467902031 |
|---|---|
| Doing Business As | FUN DENTAL 4 KIDS |
| Entity Type | Organization |
| Authorized Contact | JOHN YOO Owner 323-562-1301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 61918) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 61938) |
| Enumeration Date | 2016-10-07 |
| Last Update Date | 2016-11-02 |