| NPI | 1568749729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN H CHAN President 858-485-6781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 55839) |
| Enumeration Date | 2011-11-15 |
| Last Update Date | 2013-01-16 |