NPI | 1760602635 |
---|---|
Doing Business As | LA BREA FAMILY DENTAL PRACTICE |
Entity Type | Organization |
Authorized Contact | KILPYUNG AUH President / Officer 323-734-2284 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 26300) |
Enumeration Date | 2007-04-26 |
Last Update Date | 2008-11-07 |