| NPI | 1689166084 |
|---|---|
| Doing Business As | CRYSTAL DENTAL INC |
| Entity Type | Organization |
| Authorized Contact | MICHAEL SUNGYUN CHO Sole Member 909-362-6319 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA DE60603860) |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2018-05-31 |