| NPI | 1013113067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHANIEL S LIU Dentist Owner 619-259-4001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 99424) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2022-07-21 |