| NPI | 1982738639 |
|---|---|
| Other Name | AEGD |
| Entity Type | Organization |
| Authorized Contact | DEUKWON JO Assoc. Clin Professor 310-825-5891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA D46182) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2025-10-02 |