| NPI | 1508648585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK CHING-KUAN TSAI Chief Executive Officer 626-573-3616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-10-16 |
| Last Update Date | 2023-10-16 |