| NPI | 1215435292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YUJIA YAO Owner 626-324-4903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 100258) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2018-01-25 |