| NPI | 1790263713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACE S. HAN President 949-502-6406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 42322) |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2018-08-01 |