| NPI | 1306982301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE N WANG President 858-752-8131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 53111) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2020-08-22 |