| NPI | 1881021434 |
|---|---|
| Doing Business As | MEAD VALLEY COMMUNITY DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | OH JAE KWON President 951-322-4058 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 46484) |
| Enumeration Date | 2013-09-27 |
| Last Update Date | 2017-02-10 |