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 |