| NPI | 1063534022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD F LEE Owner President 562-622-1948 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 46859) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2015-04-20 |