| NPI | 1447792189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MENGCHI STEVEN YANG Manage Member 9980-202-5696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NC 9853) |
| Enumeration Date | 2016-11-11 |
| Last Update Date | 2016-11-11 |