| NPI | 1992048318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID C SUH President 310-326-9572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 51197) |
| Additional Taxonomies | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2021-09-30 |