| NPI | 1780230946 |
|---|---|
| Doing Business As | CUSTER CREEK DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | STEVE JAEWOO KIM Dr 408-821-0187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2020-04-07 |