| NPI | 1497763635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | XUEWEN S. CUI Dds 559-255-3333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA 45446) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2020-08-22 |