| NPI | 1356424469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRED CHIHYUNG LEE Owner 909-396-5059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 41638) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2020-08-22 |