| NPI | 1861766768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN LEE Owner/Dentist 818-897-5055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 56137) |
| Enumeration Date | 2012-02-24 |
| Last Update Date | 2012-08-29 |