| NPI | 1710393418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IAN WOO Owner 323-369-1066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 50018) |
| Enumeration Date | 2014-07-02 |
| Last Update Date | 2014-07-02 |