| NPI | 1588354492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL CHOI Sole Owner 696-268-2544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2023-05-12 |
| Last Update Date | 2024-04-02 |