| NPI | 1659090413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER LEE President 310-936-0831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2022-08-25 |
| Last Update Date | 2022-08-25 |