| NPI | 1760327399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK LEE President 714-992-6288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2026-04-21 |
| Last Update Date | 2026-04-21 |