| NPI | 1063431146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIET TAN CHUA President Dentist 562-691-7438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 33674) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2016-07-25 |