| NPI | 1538011341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY QIU CEO 562-291-2191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2026-02-12 |
| Last Update Date | 2026-03-03 |