| NPI | 1770763468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANGHOON PARK Dentist/Owner/President 714-689-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: CA 54608) |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2010-05-10 |