| NPI | 1780125518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA SIU President 714-425-9736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 64432) |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2017-03-13 |