| NPI | 1689805012 |
|---|---|
| Former Legal Business Name | KOSAL KOM, DDS |
| Entity Type | Organization |
| Authorized Contact | KOSAL KOM President 562-434-9980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 41442) |
| Enumeration Date | 2009-08-03 |
| Last Update Date | 2009-08-03 |