| NPI | 1568601151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNY PEI LIU CEO 626-293-7145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 55450) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 55450) |
| Enumeration Date | 2009-02-05 |
| Last Update Date | 2009-02-05 |