| NPI | 1285982918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL H CHONG Owner 253-946-6361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2024-06-06 |