| NPI | 1972068518 |
|---|---|
| Doing Business As | FUN DENTAL 4 KIDS |
| Entity Type | Organization |
| Authorized Contact | JOHN YOO President 310-619-5880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-02-07 |
| Last Update Date | 2019-02-07 |