| NPI | 1821555608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUNG Y CHO President/CEO 925-915-9042 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-02-27 |
| Last Update Date | 2019-03-20 |