| NPI | 1043406853 |
|---|---|
| Doing Business As | HEALTHY SMILE FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | KENNETH KA CHAN Dentist 626-799-8068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2007-09-15 |
| Last Update Date | 2007-09-15 |