| NPI | 1689296105 |
|---|---|
| Doing Business As | CALSTATE DENTAL |
| Doing Business As | CALSTATE DENTAL INC |
| Entity Type | Organization |
| Authorized Contact | SIMON WONG President 626-354-9667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-05-07 |
| Last Update Date | 2021-05-12 |