| NPI | 1639617632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAEHOON LEE Endodontist 909-945-5262 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CA 63274) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: CA 54854) |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2017-02-09 |