| NPI | 1184999815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES CHUNG SHAW Owner 310-347-6172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 59455) |
| Enumeration Date | 2012-03-13 |
| Last Update Date | 2012-03-13 |