| NPI | 1205288925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL CHU President 916-478-0101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 57420) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: CA 25104) |
| Enumeration Date | 2016-07-06 |
| Last Update Date | 2016-07-06 |