| NPI | 1700919974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSE E KIM President 661-294-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 39025) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 41287) |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 41287) | |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2008-04-20 |