| NPI | 1063583490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIUS MING-CHENG KONG President 831-724-4182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: CA 51094) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2020-08-22 |