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 |