| NPI | 1902918105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHONA FRIAS YU Dentist/Owner 323-982-1435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 46003) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2020-08-22 |