| NPI | 1942079918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE WHANG CFO 626-540-2899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2024-01-01 |
| Last Update Date | 2024-01-01 |