| NPI | 1881139442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEONG KANG Owner 213-380-1894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 40624) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 51048) |
| Enumeration Date | 2017-01-05 |
| Last Update Date | 2017-01-05 |