NPI | 1639504749 |
---|---|
Doing Business As | ENZO DENTISTRY |
Entity Type | Organization |
Authorized Contact | ANDREW-SUNJUN KIM President 310-321-0005 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 62018) |
Enumeration Date | 2013-09-09 |
Last Update Date | 2024-12-23 |