NPI | 1710106281 |
---|---|
Entity Type | Organization |
Authorized Contact | GRACE L KIM Office Administrator 714-615-2875 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 35132) |
Enumeration Date | 2007-04-24 |
Last Update Date | 2015-05-14 |