| NPI | 1225862451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | XUANYU LU Owner 626-684-2888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2024-08-29 |
| Last Update Date | 2024-08-29 |