| NPI | 1649534397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHANIEL J. KHOE Owner 626-305-1320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 38311) |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2012-06-27 |