| NPI | 1114114147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR HO Owner/Partner 310-670-0220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 41419) |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2007-10-03 |