| NPI | 1407931264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD LEONG President 909-946-5656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 46199) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2020-08-22 |