| NPI | 1780012740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDREY YOON President 310-709-1644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 53114) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 53114) |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2013-10-29 |