| NPI | 1487703294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER LIM President 818-783-4565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 45487) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2024-12-05 |