NPI | 1700922382 |
---|---|
Entity Type | Organization |
Authorized Contact | PERRY Y JUE Shareholder 661-323-1500 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 41430) |
Enumeration Date | 2007-01-30 |
Last Update Date | 2012-01-05 |