| NPI | 1346443686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRENE C CHANG Owner 626-577-0114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 38815) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2024-03-07 |