| NPI | 1790913127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONY YANG CEO 714-568-0188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center Oral and Maxillofacial Surgery (Licence: CA OMS 84) |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2009-06-24 |