| NPI | 1730415654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WEI-YEN CHANG President 678-461-3875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA 013974) |
| Enumeration Date | 2009-10-28 |
| Last Update Date | 2009-10-28 |