| NPI | 1093928723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARAPORN TANPATTANA Practice Associate 310-473-2727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: CA 47326) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2020-08-22 |