| NPI | 1578696134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERENCE CHUCK WONG President 510-581-7788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 33880) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2007-12-03 |