| NPI | 1558805416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN CHOI Administrator 562-653-9513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 41361) |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2016-12-12 |