| NPI | 1548197999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC CHEN Owner 310-405-3155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2026-05-07 |
| Last Update Date | 2026-05-07 |