| NPI | 1700280948 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | BINGSHENG QIAO Owner/Dentist 805-925-6229 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 52454) | 
| Enumeration Date | 2014-10-17 | 
| Last Update Date | 2014-10-17 |