| NPI | 1801278577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL HWANG Owner 818-764-0113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 47096) |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2022-08-11 |