NPI | 1861030272 |
---|---|
Doing Business As | KELLY SMILE DENTISTRY |
Entity Type | Organization |
Authorized Contact | KELLY EUNJUNG HONG President 760-242-2338 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2019-12-16 |
Last Update Date | 2019-12-16 |