| NPI | 1922514819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KWOR CHIEH LOO Owner 626-475-7424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CA DDS45489) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery | |
| Enumeration Date | 2017-12-14 |
| Last Update Date | 2024-10-01 |