| NPI | 1649733015 |
|---|---|
| Doing Business As | FUN DENTAL 4 KIDS |
| Entity Type | Organization |
| Authorized Contact | JOHN YOO Dentist 310-619-5880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2019-04-11 |