| NPI | 1487335733 |
|---|---|
| Doing Business As | WONDERFUL LIFE DENTAL |
| Entity Type | Organization |
| Authorized Contact | PAUL S CHANG CEO 626-818-0633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-07-28 |
| Last Update Date | 2023-07-28 |