| NPI | 1518302587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CHARLES LEE President 714-222-4551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 56016) |
| Enumeration Date | 2013-05-06 |
| Last Update Date | 2013-05-06 |