| NPI | 1689939167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON CHING Dentist 909-333-6875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 53202) |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2012-07-30 |