| NPI | 1073562823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEA BANGSIL President 562-690-5261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA B40532) |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2015-02-06 |