NPI | 1679131478 |
---|---|
Doing Business As | PARK AVENUE COSMETIC DENISTRY |
Entity Type | Organization |
Authorized Contact | JOO HYUNG HYUNG KIM CEO/Dentist 213-595-1410 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2019-06-05 |
Last Update Date | 2020-09-09 |