| NPI | 1992173843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOYOUNG L KIM President 909-874-7444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 57133) |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2015-09-09 |