NPI | 1588925010 |
---|---|
Entity Type | Organization |
Authorized Contact | JOON HO CHOE Dentist 213-381-2828 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 50451) |
Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: CA 51096) |
1223P0700X Dentist, Prosthodontics (Licence: CA 47496) | |
Enumeration Date | 2012-05-31 |
Last Update Date | 2012-05-31 |