| NPI | 1609048867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN EDWARD LEW President 323-465-6451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 48634) |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2008-03-27 |