| NPI | 1407303357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERI DANG Owner 818-800-4868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 58382) |
| Additional Taxonomies | 1223D0004X Dentist, Dentist Anesthesiologist Speciality (Licence: CA 58382) |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2016-09-08 |