NPI | 1689198806 |
---|---|
Doing Business As | PRIME DENTAL GROUP DR KIM |
Entity Type | Organization |
Authorized Contact | SEUNG HWAN KIM Owner 213-505-2088 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 65350) |
Enumeration Date | 2017-07-30 |
Last Update Date | 2022-07-21 |