| NPI | 1184959967 |
|---|---|
| Doing Business As | FAIRGROVE FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | PETER LUU President 626-236-6659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 55933) |
| Enumeration Date | 2009-10-12 |
| Last Update Date | 2009-11-09 |