| NPI | 1598044356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEONG DOO KIM President 310-713-5159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 50622) |
| Enumeration Date | 2011-08-11 |
| Last Update Date | 2011-08-11 |