NPI | 1427109651 |
---|---|
Entity Type | Organization |
Authorized Contact | MARLENE LIM Office Manager 714-778-0988 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 39981) |
Enumeration Date | 2007-01-15 |
Last Update Date | 2012-05-02 |