| NPI | 1740572197 |
|---|---|
| Doing Business As | ELSINORE MAIN STREET DENTAL |
| Entity Type | Organization |
| Authorized Contact | OH JAE KWON President 909-576-7175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 46484) |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2016-07-06 |