NPI | 1538254396 |
---|---|
Entity Type | Organization |
Authorized Contact | NELSON T YEN Employer 714-381-4699 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: CA 46231) |
Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: CA 29240) |
Enumeration Date | 2006-10-04 |
Last Update Date | 2022-01-19 |