| NPI | 1649516501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE K CHEW Owner 626-282-9108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: CA 35825) |
| Enumeration Date | 2012-12-21 |
| Last Update Date | 2012-12-21 |