NPI | 1548043284 |
---|---|
Doing Business As | EMERALD CITY ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | JIAYU SHI Orthodontist 310-845-5276 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2023-08-16 |
Last Update Date | 2023-08-16 |