NPI | 1659158111 |
---|---|
Doing Business As | CHRISTIAN DENTAL ART |
Entity Type | Organization |
Authorized Contact | SONG WOO JUNG CEO/Dentist 949-458-1012 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2023-09-11 |
Last Update Date | 2023-09-11 |