| NPI | 1811298813 |
|---|---|
| Doing Business As | EVA DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | JUSTIN TONY CHUNG CEO 714-775-3699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA 56138) |
| Enumeration Date | 2010-11-06 |
| Last Update Date | 2010-11-06 |