NPI | 1356717565 |
---|---|
Former Legal Business Name | JUN AND SHAN DENTAL SERVICE INC |
Entity Type | Organization |
Authorized Contact | SHAUN XUN XU CEO 626-627-6249 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 59365) |
Enumeration Date | 2015-08-12 |
Last Update Date | 2015-12-20 |