| NPI | 1487205878 |
|---|---|
| Doing Business As | LONG BEACH KIDS DENTISTRY DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | STEVEN WU Owner 562-294-5669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2019-09-30 |