NPI | 1851503437 |
---|---|
Entity Type | Organization |
Authorized Contact | NELSON PAI President 562-493-2807 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 34540) |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 35506) |
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 35506) | |
Enumeration Date | 2007-05-04 |
Last Update Date | 2020-08-22 |