| NPI | 1861514671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN KUO TSAI CHENG President 480-820-6131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AZ 2942) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2020-08-22 |