| NPI | 1205021664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHEN DER J CHIANG Office Owner Pediatric Dentist 626-369-1177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: CA B38660) |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2007-09-10 |