NPI | 1851411367 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM H TETTEH-MARTEY President 626-665-9279 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 52119) |
Enumeration Date | 2007-03-29 |
Last Update Date | 2015-11-17 |