| NPI | 1821414095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHUNKEUN CHOI Sole Owner 707-480-8867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 56902) |
| Enumeration Date | 2014-03-12 |
| Last Update Date | 2024-04-25 |