| NPI | 1679929731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC CHEN CHIANG Dentist 909-920-9543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 39245) |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2016-05-09 |