NPI | 1407074271 |
---|---|
Entity Type | Organization |
Authorized Contact | KWOR CHIEH LOO President 626-475-7424 |
Organization Subpart ? | No |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CA 45489) |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 45140) |
Enumeration Date | 2007-04-24 |
Last Update Date | 2020-08-22 |