| NPI | 1922931328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABRAHAM TANG President 760-705-8264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2026-06-04 |
| Last Update Date | 2026-06-04 |