| NPI | 1477577831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH WILLIAM CHANG President 310-547-1128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 24954) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2020-08-22 |