| NPI | 1821657008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KON LEUNG Secretary 626-445-1181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2020-04-22 |