| NPI | 1902828874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID S. HAN President/Owner 760-726-4790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 48607) |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2016-10-17 |