| NPI | 1043760978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND SAMUEL WANG Pedodontist 562-925-3765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 63369) |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2016-10-04 |