| NPI | 1053455501 |
|---|---|
| Doing Business As | DENTAL SPA OF WEST COVINA |
| Entity Type | Organization |
| Authorized Contact | JEANNIE S LEE Office Manager 626-859-2439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 47114) |
| Enumeration Date | 2007-02-17 |
| Last Update Date | 2020-08-22 |