| NPI | 1104046788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDISON CHUNG LOUIE President 714-998-5710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 22163) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2020-08-22 |