| NPI | 1912425463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAYTON JOSEPH CHAN CEO 626-573-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 101780) |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2022-07-21 |