| NPI | 1073374740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLIN TSAI President/Owner 626-446-9860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2024-01-19 |
| Last Update Date | 2024-01-19 |