| NPI | 1679902381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY JONG President 310-325-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 39018) |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2013-11-04 |