NPI | 1528896073 |
---|---|
Entity Type | Organization |
Authorized Contact | HYUN YOUNG KIM Owner 951-533-6698 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2024-07-25 |
Last Update Date | 2024-07-25 |