| 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 |