| NPI | 1831566827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL J KIM Resident 415-816-7749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 64716) |
| Enumeration Date | 2015-08-26 |
| Last Update Date | 2015-08-26 |