| NPI | 1144714924 |
|---|---|
| Doing Business As | LA WILSHIRE PERIODONTICS AND DENTAL IMPLANTS |
| Entity Type | Organization |
| Authorized Contact | DAVID KAO President 213-481-2699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2018-06-15 |