NPI | 1609220490 |
---|---|
Doing Business As | FRESH SMILE DENTAL CARE |
Entity Type | Organization |
Authorized Contact | KWANGJAE YEO President 469-703-9819 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: TX 29206) |
Enumeration Date | 2016-04-18 |
Last Update Date | 2016-06-22 |