| NPI | 1275921058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT MUNTAE LEE President 559-284-1784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 39438) |
| Enumeration Date | 2015-01-02 |
| Last Update Date | 2015-01-02 |