| NPI | 1568715753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVIAN JUI Owner 949-727-4633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 38855) |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2012-10-25 |