| NPI | 1922526573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD WESTWEALTH LEW President 562-925-7436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 53083) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 53083) |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2022-07-21 |