| NPI | 1437133063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH CHITOSE HARADA President 323-726-1544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 19430) |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2020-08-22 |