| NPI | 1760099584 |
|---|---|
| Doing Business As | ICON DENTAL |
| Entity Type | Organization |
| Authorized Contact | KELLY JIN Manager 714-342-0121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-09-25 |
| Last Update Date | 2020-09-25 |