| NPI | 1235453200 |
|---|---|
| Doing Business As | HEALTHY LIFE DENTAL |
| Entity Type | Organization |
| Authorized Contact | ELAINE F LU President 626-297-3246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 56199) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 56199) |
| Enumeration Date | 2010-03-19 |
| Last Update Date | 2010-03-19 |