| 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 |