NPI | 1033949581 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL CHANG President 213-294-1462 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2024-08-07 |
Last Update Date | 2024-08-07 |