| NPI | 1174642896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYLAN D LUU Key Executive 714-554-2054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 49933) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |