| NPI | 1922134246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN S.H. CHANG Dentist 858-715-8080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 40213) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2020-08-22 |