| NPI | 1003805649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL S LAU Owner 213-481-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 21320) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 24820) |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2020-08-22 |