| NPI | 1750611000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD KIDD LEW President 213-484-5377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 14805) |
| Enumeration Date | 2010-01-09 |
| Last Update Date | 2010-01-09 |