| NPI | 1518409770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER THIEU LAI Owner 310-839-8831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 57649) |
| Enumeration Date | 2016-11-04 |
| Last Update Date | 2016-11-04 |