| NPI | 1891863361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVY OI-WAN LI President 213-617-0136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 26674) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2012-06-12 |