| NPI | 1023159183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY VERDON LEELING President 626-280-4122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 21158) |
| Enumeration Date | 2007-02-10 |
| Last Update Date | 2020-08-22 |