| NPI | 1942320890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELORES C LOUIE Office Manager 626-962-4428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 17960) |
| Enumeration Date | 2007-03-31 |
| Last Update Date | 2020-08-22 |