NPI | 1487072328 |
---|---|
Doing Business As | GRACE DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | WOO YOUNG LEE President & Owner 415-921-8867 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 52883) |
Enumeration Date | 2014-03-28 |
Last Update Date | 2014-03-28 |