| NPI | 1669980140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YONG LAI President 626-758-7914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: CA 51098) |
| Enumeration Date | 2018-01-18 |
| Last Update Date | 2018-01-18 |