| NPI | 1649656489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN YOO Owner 310-518-3522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 61918) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 61938) |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2015-08-04 |