| NPI | 1174997480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN LAM Office Manager 714-767-3564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 62619) |
| Enumeration Date | 2015-11-24 |
| Last Update Date | 2015-11-24 |