| NPI | 1710007877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIANA CO TING KEH VILLAGO President 323-401-8560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 48054) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2016-10-21 |