| 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 |