| NPI | 1871778290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH CHEN President 760-744-2168 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 54522) |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2008-01-03 |