| NPI | 1285771378 |
|---|---|
| Doing Business As | UCLA MAXILLOFACIAL PROSTHETICS |
| Entity Type | Organization |
| Authorized Contact | ERIC C SUNG Director 310-206-6407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: CA 38370) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2014-12-12 |