| NPI | 1568058816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER LEE President 323-255-0193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2020-12-20 |
| Last Update Date | 2022-03-23 |