| NPI | 1962927103 |
|---|---|
| Former Legal Business Name | WAYNE SHIM DMD |
| Entity Type | Organization |
| Authorized Contact | WAYNE SHIM President 714-383-4516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MA 20756) |
| Enumeration Date | 2017-08-09 |
| Last Update Date | 2017-08-09 |