| NPI | 1619353208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN KIM Dentist/Owner 714-730-8070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 50765) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| 122300000X Dentist | |
| Enumeration Date | 2015-08-05 |
| Last Update Date | 2025-10-08 |