| NPI | 1982002002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS J HAN Executive Officer 213-380-7900 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: CA 30416) |
| Enumeration Date | 2014-12-06 |
| Last Update Date | 2014-12-06 |