| 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 |