| NPI | 1396189114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY SUNG-EN PAN Owner 626-350-0588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 59548) |
| Enumeration Date | 2013-04-23 |
| Last Update Date | 2013-04-23 |