| NPI | 1689802324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENHONG FELIX PENG President 310-308-3204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: CA 46124) |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2009-07-01 |