| NPI | 1114003670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERENA HSU President, Orthodontist 909-941-2811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 41090) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2023-11-08 |