| NPI | 1184817868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC CHICH-KUANG PENG President 626-307-4078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 35017) |
| 122300000X Dentist | |
| Enumeration Date | 2007-08-25 |
| Last Update Date | 2021-06-14 |