| NPI | 1053712356 |
|---|---|
| Doing Business As | FORMOSA DENTAL ARTS |
| Entity Type | Organization |
| Authorized Contact | ALEXANDER CHANG President/Owner 949-891-2871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2014-09-06 |
| Last Update Date | 2016-01-19 |