| 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 |