| NPI | 1154445120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KWANG-SU PETER CHUNG President 619-435-6227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 26047) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2020-08-22 |