NPI | 1679964456 |
---|---|
Entity Type | Organization |
Authorized Contact | JOO SUNG CHUNG President 323-766-1004 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: CA 45444) |
Enumeration Date | 2015-02-14 |
Last Update Date | 2015-02-14 |