| NPI | 1992079693 |
|---|---|
| Former Legal Business Name | BETHESDA COMMUNITY CLINIC |
| Entity Type | Organization |
| Authorized Contact | YOUNG KIM Owner/ Dentist 714-772-5656 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 31939) |
| Enumeration Date | 2012-02-28 |
| Last Update Date | 2021-05-10 |