| NPI | 1891252722 |
|---|---|
| Doing Business As | GRACE DENTAL |
| Entity Type | Organization |
| Authorized Contact | YOUNGSEOK SEO President 760-653-8338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-02-27 |
| Last Update Date | 2020-09-09 |