| NPI | 1942321476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NINA X YU Officier 714-540-8547 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 47620) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 47682) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2014-09-18 |