| NPI | 1174904825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PING-LIN BEN CHUNG President 310-460-8348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 54943) |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2015-06-17 |