| NPI | 1730310962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MI SUNG HEO-KIM President 909-732-8786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 50766) |
| Enumeration Date | 2009-08-05 |
| Last Update Date | 2009-08-05 |