| NPI | 1568884740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRELL SCOTT CHUN President 916-691-1188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 39773) |
| Enumeration Date | 2014-01-07 |
| Last Update Date | 2014-01-07 |