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 |