| NPI | 1881933190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HSIU-CHAAI MIKE CHANG Owner 510-569-0218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 124Q00000X Dental Hygienist |
| Enumeration Date | 2013-02-06 |
| Last Update Date | 2013-02-06 |