| NPI | 1700285525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY LAU President 650-620-9535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 59180) |
| Enumeration Date | 2014-08-18 |
| Last Update Date | 2014-08-18 |