| NPI | 1689028565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PING-LIN BEN CHUNG President 909-393-5688 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 54943) |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2016-04-18 |