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 |