NPI | 1336330547 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT WANG President 714-655-8493 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: CA 50694) |
Enumeration Date | 2007-08-05 |
Last Update Date | 2007-08-05 |