NPI | 1134245608 |
---|---|
Entity Type | Organization |
Authorized Contact | YUEN-SIANG HUNG Owner 909-981-4111 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0700X Dentist Prosthodontics |
Additional Taxonomies | 1223E0200X Dentist Endodontics |
1223G0001X Dentist General Practice | |
1223P0221X Dentist Pediatric Dentistry | |
1223P0300X Dentist Periodontics | |
1223X0400X Dentist Orthodontics and Dentofacial Orthopedics | |
Enumeration Date | 2007-03-22 |
Last Update Date | 2008-09-11 |