| NPI | 1558527671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY IMAGAWA President 714-847-2569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 29803) |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2013-03-28 |