NPI | 1992951628 |
---|---|
Entity Type | Organization |
Authorized Contact | JUSTIN S HONG Owner 714-744-2828 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 47374) |
Enumeration Date | 2008-08-13 |
Last Update Date | 2008-08-13 |