| NPI | 1598839383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KASIDIT SUWANTAMEY General Manager 562-869-8177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 31399) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2020-08-22 |