| NPI | 1750884284 |
|---|---|
| Doing Business As | AVENUE DENTAL |
| Entity Type | Organization |
| Authorized Contact | MIN HEE OH President 310-849-7589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2018-03-12 |
| Last Update Date | 2018-03-12 |