| NPI | 1285810036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GILBERT K MAK Director 626-308-3933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 38083) |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2008-01-10 |