| NPI | 1356530141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW C SHIEH President 323-588-6384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: CA B44084-01) |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2007-10-17 |