NPI | 1063569184 |
---|---|
Entity Type | Organization |
Authorized Contact | SIMON C CHUN President 626-350-0447 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 43923) |
Enumeration Date | 2007-01-03 |
Last Update Date | 2013-04-03 |