| NPI | 1649796038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISSAC HUANG Partner 310-373-3200 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 31475) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 61573) |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2017-08-17 |