NPI | 1790213890 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL CHARLES KIM President 415-738-7488 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 59578) |
Enumeration Date | 2017-06-01 |
Last Update Date | 2023-12-11 |