| NPI | 1609543305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUN SIK KIM Orthodontist/Owner 559-817-4080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2021-08-30 |
| Last Update Date | 2021-10-04 |