| NPI | 1407074271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERLENE TING Administrator 626-375-0656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CA 45489) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2024-10-01 |