| NPI | 1417095993 |
|---|---|
| Former Legal Business Name | NONE |
| Entity Type | Organization |
| Authorized Contact | HENRY C LU President 626-281-3651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA D31313) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2020-08-22 |