| NPI | 1962576876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD K FURUICHI President 323-283-2240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 44477) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 41928) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2020-08-22 |