| NPI | 1588806814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL CHU Owner 714-771-8571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 30474) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 57627) |
| 122300000X Dentist (Licence: CA 30504) | |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2011-04-25 |