| NPI | 1487286019 | 
|---|---|
| Doing Business As | EAST VALLEY CHILDREN'S DENTISTRY | 
| Entity Type | Organization | 
| Authorized Contact | NORMAN CHEN President 323-418-2004  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry | 
| Enumeration Date | 2020-02-11 | 
| Last Update Date | 2020-02-11 |