| NPI | 1639599566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM YANG President 909-255-6406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA 60431526) |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2014-04-17 |