| NPI | 1942490602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERENCE KIEN-WA LAU Owner / Partner 818-886-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery |
| Additional Taxonomies | 261QD0000X Clinic/Center Dental |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2024-08-21 |