| NPI | 1952117756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOUNGJOON KIM Owner 909-602-7007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-12-06 |
| Last Update Date | 2024-12-26 |