| NPI | 1962919571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GITAE KIM Dentist And Owner 213-384-2864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 58750) |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2018-01-04 |