| NPI | 1689058471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN YOO President 310-619-5880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 61918) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 61938) |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2015-07-13 |