| NPI | 1700473758 |
|---|---|
| Former Legal Business Name | LYONS TEETH AND BRACES |
| Entity Type | Organization |
| Authorized Contact | AILEEN NGAN CEO 661-255-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2020-12-23 |
| Last Update Date | 2020-12-23 |