| NPI | 1992375901 |
|---|---|
| Former Legal Business Name | COLORADO DENTAL |
| Entity Type | Organization |
| Authorized Contact | HONG KU KIM Dentist/Owner 626-584-7017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-06-30 |
| Last Update Date | 2021-06-30 |