| NPI | 1356761035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHEN DER J CHIANG Office Manager 626-369-1177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 38660) |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2015-02-02 |