| NPI | 1689862617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN KIM President 818-363-7900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 48133) |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2007-10-03 |