NPI | 1710670450 |
---|---|
Doing Business As | SHINING SMILES ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | DONGGEUN LEE President 213-800-1228 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2023-05-30 |
Last Update Date | 2023-12-12 |