| 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 |