| NPI | 1619215175 |
|---|---|
| Doing Business As | MY HOME DENTAL GROUP - BUENA PARK PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | HANNAH JIYOUNG SONG Pediatric Dentist/ C.F.O. 714-994-2121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 58464) |
| Enumeration Date | 2013-01-17 |
| Last Update Date | 2013-01-17 |