| NPI | 1518403997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PERRY Y, JUE Partner 661-399-5539 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 41430) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: CA 33650) |
| 261QD0000X Clinic/Center, Dental (Licence: CA 60937) | |
| Enumeration Date | 2017-01-10 |
| Last Update Date | 2017-01-10 |