| NPI | 1780412890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB CHAE CEO/Dentist 213-705-3811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-07-22 |
| Last Update Date | 2024-08-12 |