| NPI | 1194921916 |
|---|---|
| Doing Business As | FRUITFUL SMILE FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | MICHAEL JUNG-CHAN CHANG President 714-994-4482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 39244) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2007-11-21 |