| NPI | 1841664059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN S. HONG President 909-632-8944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 60681) |
| Enumeration Date | 2015-11-25 |
| Last Update Date | 2015-12-04 |