NPI | 1427171396 |
---|---|
Entity Type | Organization |
Authorized Contact | CASPAR L. SUNG President 310-518-3522 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 28821) |
Enumeration Date | 2007-04-07 |
Last Update Date | 2020-08-22 |