| NPI | 1881141778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA KEE HSIEH Owner 626-731-9838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: MA DN1857177) |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2016-09-08 |