| NPI | 1801346580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YU GAN President 702-460-7656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 30791) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 30911) | |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2022-10-31 |