| NPI | 1427897081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MING FAI TOMMY TONG Manager 408-613-8892 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2024-05-23 |
| Last Update Date | 2024-05-23 |