| NPI | 1962549519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMA KIM Co Owner 562-944-4745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 43994) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 54813) |
| 1223P0300X Dentist, Periodontics (Licence: CA 41407) | |
| 1223P0300X Dentist, Periodontics (Licence: CA 45238) | |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2024-06-12 |