| NPI | 1497176713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLIN TSAI Owner 323-724-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 58983) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 59994) |
| 1223P0700X Dentist, Prosthodontics (Licence: CA 59994) | |
| Enumeration Date | 2014-01-06 |
| Last Update Date | 2014-01-06 |