| NPI | 1942955224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILLIAN HO Ce0 714-809-9715 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-02-15 |
| Last Update Date | 2022-02-15 |