NPI | 1750582250 |
---|---|
Entity Type | Organization |
Authorized Contact | MAXIMILIAN CHANG Chief Executive Officer 310-378-5358 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 46249) |
Enumeration Date | 2007-05-30 |
Last Update Date | 2020-08-22 |