NPI | 1942642855 |
---|---|
Entity Type | Organization |
Authorized Contact | JUNG JIN LEEYOON Owner/Dentist 562-862-6525 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 50777) |
Enumeration Date | 2013-07-19 |
Last Update Date | 2019-10-08 |