| NPI | 1679985477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AILEEN KIM President 626-600-6080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: CA 61307) |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2014-05-28 |