| NPI | 1558644047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHOONGSEO CHUNG President 650-867-6335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019.028480) |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2013-02-05 |