NPI | 1598940553 |
---|---|
Doing Business As | BREA PEDIATRIC DENTAL PRACTICE |
Entity Type | Organization |
Authorized Contact | DAVID MIN KANG President 323-899-4957 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 50933) |
Enumeration Date | 2008-01-08 |
Last Update Date | 2008-06-23 |