| NPI | 1629485818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WON SUNG Officer/Member 213-249-1765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 248.000898) |
| Enumeration Date | 2014-07-19 |
| Last Update Date | 2014-08-18 |