NPI | 1477023869 |
---|---|
Entity Type | Organization |
Authorized Contact | MYUNG SOO CHOI Owner 469-362-6088 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0300X Dentist Periodontics |
Additional Taxonomies | 1223P0700X Dentist Prosthodontics |
1223X0400X Dentist Orthodontics and Dentofacial Orthopedics | |
Enumeration Date | 2018-11-28 |
Last Update Date | 2018-11-28 |