| NPI | 1093558819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELVIN CHOU Owner Dentist 858-558-3636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist Endodontics |
| Additional Taxonomies | 1223G0001X Dentist General Practice |
| Enumeration Date | 2024-06-18 |
| Last Update Date | 2024-06-18 |