| NPI | 1912314493 |
|---|---|
| Doing Business As | WOW KIDS DENTAL |
| Entity Type | Organization |
| Authorized Contact | ANGEL G LIU President 213-453-2775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 55945) |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2014-07-17 |