NPI | 1467145631 |
---|---|
Doing Business As | PEDIATRIC DENTAL LASER CENTER |
Entity Type | Organization |
Authorized Contact | MICHAEL P WONG Owner 267-903-2950 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Enumeration Date | 2023-06-01 |
Last Update Date | 2023-06-01 |