| NPI | 1235528175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YEN P. LE Orthodontist 619-459-4320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 47383) |
| Enumeration Date | 2015-01-15 |
| Last Update Date | 2015-02-09 |