| NPI | 1912421942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOUNG YEOP KIM Dentist 714-539-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 101060) |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2024-07-16 |