NPI | 1700076858 |
---|---|
Entity Type | Organization |
Authorized Contact | WAN PENG President/Dentist 619-442-3131 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 44985) |
Enumeration Date | 2007-07-25 |
Last Update Date | 2007-07-25 |