NPI | 1649793316 |
---|---|
Doing Business As | GARLAND GROVE DENTISTRY |
Entity Type | Organization |
Authorized Contact | WOO SUNG JUNG Dentist 949-689-0898 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 29318) |
Enumeration Date | 2017-07-24 |
Last Update Date | 2017-07-24 |